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Individual

ROSSANA CRUCIATA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
208 MAPLE AVE, RED BANK, NJ 07701-1733
(732) 747-1122
Mailing address
39 HILLTOP TER, STATEN ISLAND, NY 10304-1108
(347) 609-3368

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02832200
NJ
1223G0001X
General Practice Dentistry
DS042584
PA

Other

Enumeration date
05/31/2020
Last updated
06/29/2026
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