Organization
DAILEY OMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISA REBECCA DAILEY DDS (OWNER)
(732) 673-9792
Entity
Organization
Contact information
Practice address
4814 OUTLOOK DR STE 105, WALL TOWNSHIP, NJ 07753-6839
(732) 673-9792
Mailing address
4814 OUTLOOK DR STE 105, WALL TOWNSHIP, NJ 07753-6839
(732) 673-9792
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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