Individual
DR. SAMUEL C PENNELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
76 BELLEVUE AVE, UPPER MONTCLAIR, NJ 07043-2430
(973) 744-8004
Mailing address
76 BELLEVUE AVE, UPPER MONTCLAIR, NJ 07043-2430
(973) 744-8004
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
09713
NJ
Other
Enumeration date
05/17/2008
Last updated
05/17/2008
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