Individual
DR. GARY JAY PENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
193 US HIGHWAY 9, SUITE 26, MANALAPAN, NJ 07726-3015
(732) 409-2900
(732) 409-6524
Mailing address
193 US HIGHWAY 9, SUITE 26, MANALAPAN, NJ 07726-3015
(732) 409-2900
(732) 409-6524
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
14724
NJ
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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