Organization
AMARA DENTAL OF WALL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN ABBATICCHIO DDS (OWNER)
(908) 237-1216
Entity
Organization
Contact information
Practice address
1933 ROUTE 35, UNIT 122, WALL TOWNSHIP, NJ 07719-3502
(732) 556-5000
(732) 556-5001
Mailing address
1144 HOOPER AVE, SUITE 301, TOMS RIVER, NJ 08753-8361
(732) 914-1039
(732) 914-8472
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI017432
NJ
Other
Enumeration date
10/10/2016
Last updated
02/20/2019
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