Organization
DENISE DIBONA DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE DIBONA DDS (OWNER)
(732) 530-5111
Entity
Organization
Contact information
Practice address
146 MAPLE AVE, RED BANK, NJ 07701-1701
(732) 530-5111
(732) 741-2584
Mailing address
146 MAPLE AVE, RED BANK, NJ 07701-1701
(732) 530-5111
(732) 741-2584
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI01588000
NJ
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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