Organization
DESALVO & SHYONG PC
Active
Other names
DeSalvo Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA GINA DESALVO DMD (DENTIST OWNER)
(201) 224-3232
Entity
Organization
Contact information
Practice address
264 COLUMBIA AVE, FORT LEE, NJ 07024
(201) 224-3232
(201) 224-6030
Mailing address
264 COLUMBIA AVE, FORT LEE, NJ 07024
(201) 224-3232
(201) 224-6030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI017994
NJ
Other
Enumeration date
12/01/2006
Last updated
01/11/2010
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