Organization
FAMILY AND COSMETIC DENTISTRY,DRS. STANISLAUS AND MICHELOTTI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN RAJ STANISLAUS DMD (PARTNER)
(732) 409-0330
Entity
Organization
Contact information
Practice address
4249 US HIGHWAY 9, BUILDING 2, SUITE A, FREEHOLD, NJ 07728-8308
(732) 409-0330
(732) 409-0353
Mailing address
4249 US HIGHWAY 9, BUILDING 2, SUITE A, FREEHOLD, NJ 07728-8308
(732) 409-0330
(732) 409-0353
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01718000
NJ
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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