Organization
MILLVILLE FAMILY DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN ABBATICCHIO DDS (OWNER)
(732) 905-5043
Entity
Organization
Contact information
Practice address
2144 N 2ND ST, MILLVILLE, NJ 08332-1304
(856) 825-2111
(856) 825-2122
Mailing address
2144 N 2ND ST, MILLVILLE, NJ 08332-1304
(856) 825-2111
(856) 825-2122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI017432
NJ
Other
Enumeration date
09/05/2007
Last updated
02/20/2019
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