Individual
DR. PHILLIP MOLLICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
392 VICTOR ST, SADDLE BROOK, NJ 07663-6117
(201) 587-0222
Mailing address
392 VICTOR ST, SADDLE BROOK, NJ 07663
(201) 587-0222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI14101
NJ
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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