Individual
MARCO K ASHAMALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
190 PULASKI AVE, SAYREVILLE, NJ 08872-1287
(732) 967-3814
Mailing address
190 PULASKI AVE, SAYREVILLE, NJ 08872-1287
(201) 515-7691
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02845900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2021
Last updated
01/13/2026
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