Organization
SHORE ENDODONTICS OF SEA GIRT PA
Active
Other names
Shore Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJEEV GUPTA D.D.S. (ENDODONTIST)
(732) 349-9222
Entity
Organization
Contact information
Practice address
2130 HIGHWAY 35, SEA GIRT, NJ 08750-1010
(732) 893-8600
(732) 359-6165
Mailing address
2130 HIGHWAY 35, SEA GIRT, NJ 08750-1010
(732) 893-8600
(732) 359-6165
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
22DI02077300
NJ
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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