Individual
MARIYA MEDLENOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
241 WASHINGTON AVE, PINE BEACH, NJ 08741-1544
(732) 341-6010
Mailing address
42 CHATSWORTH RD, MANALAPAN, NJ 07726-4187
(267) 288-3355
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02579200
NJ
Other
Enumeration date
12/01/2014
Last updated
08/16/2020
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