Individual
DR. ANTHONY NICHOLAS DICESARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
240 HALF MILE ROAD, RED BANK, NJ 07701
(732) 747-2888
(732) 747-4357
Mailing address
240 HALF MILE ROAD, RED BANK, NJ 07701
(732) 747-2888
(732) 747-4357
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
0247531
NY
1223P0300X
Periodontics
Primary
D03082300
NJ
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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