Individual
MARITA ZGURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3458 NEELY RD, JB MDL, NJ 08641
(617) 816-9371
Mailing address
375TH MEDICAL GROUP, 310 LOSEY STREET, SCOTT AFB, IL 62225
(617) 816-9371
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27793
TX
Other
Enumeration date
04/04/2012
Last updated
09/16/2019
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