Organization
JACKSON JOINT VENTURES LIMITED LIABILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY SCLAFANI DDS (PRESIDENT)
(732) 901-1970
Entity
Organization
Contact information
Practice address
1102 BENNETTS MILLS ROAD, JACKSON, NJ 08527
(732) 901-1970
(732) 901-3844
Mailing address
1102 BENNETTS MILLS ROAD, JACKSON, NJ 08527
(732) 901-1970
(732) 901-3844
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
014621
NJ
1223G0001X
General Practice Dentistry
Primary
1019138
NJ
1223G0001X
General Practice Dentistry
1021108
NJ
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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