Organization
NU DENTAL OF BARNEGAT
Active
Other names
Nu Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADMASU N GIZACHEW DDS (CEO)
(609) 879-0036
Entity
Organization
Contact information
Practice address
770 LIGHTHOUSE DR # 192-B, BARNEGAT, NJ 08005-2373
(609) 879-0036
(609) 879-0036
Mailing address
16 RIVERSIDE LN, HOLMDEL, NJ 07733-2084
(732) 945-7999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440833
—
NJ
Enumeration date
12/28/2020
Last updated
12/28/2020
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