Organization
NORTH MONMOUTH DENTAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY HANNA DMD (PRESIDENT)
(732) 842-6300
Entity
Organization
Contact information
Practice address
709 SYCAMORE AVE, TINTON FALLS, NJ 07701-4946
(732) 842-6300
Mailing address
709 SYCAMORE AVE, TINTON FALLS, NJ 07701-4946
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18874
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0219738
—
NJ
Enumeration date
11/19/2012
Last updated
11/19/2012
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