Individual
ILAN GAMBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
421 HIGGINS AVE, BRIELLE, NJ 08730-1413
(732) 528-6336
(732) 528-6424
Mailing address
2046 W COUNTY LINE RD, JACKSON, NJ 08527-2034
(732) 905-2488
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02605000
NJ
Other
Enumeration date
12/06/2015
Last updated
06/17/2021
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