Individual
DR. CHRISTOPHER PELLICANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1398 HWY 35, OCEAN, NJ 07712-3543
(732) 531-9200
Mailing address
1398 NJ-35, OCEAN TOWNSHIP, NJ 07712
(732) 531-9200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02797500
NJ
1223E0200X
Endodontics
061034
NY
1223E0200X
Endodontics
Primary
06875
NJ
Other
Enumeration date
02/01/2017
Last updated
01/26/2023
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