Organization
FALIVENE AND FALIVENE DDS PA
Active
Other names
Falivene Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENEE M FALIVENE D.M.D. (PRESIDENT)
(732) 222-4694
Entity
Organization
Contact information
Practice address
232 NORWOOD AVE, WEST LONG BRANCH, NJ 07764
(732) 222-4694
(732) 222-1097
Mailing address
232 NORWOOD AVE STE B, WEST LONG BRANCH, NJ 07764-1860
(732) 222-4694
(732) 222-1097
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI00633100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122920601
—
NJ
Enumeration date
05/17/2007
Last updated
05/29/2018
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