Individual
DR. MICHAEL SCAGNELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
158 MAIN ST, BOX 405, MATAWAN, NJ 07747
(732) 566-2396
(732) 566-2994
Mailing address
158 MAIN ST, BOX 405, MATAWAN, NJ 07747
(732) 566-2396
(732) 566-2994
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17521
NJ
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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