Individual
DR. BRENDON L URSOMANNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
317 NJ-34, SUITE 203, COLTS NECK, NJ 07722
(732) 677-2777
Mailing address
75 SPARKILL AVE, STATEN ISLAND, NY 10304-3134
(718) 987-7920
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02939400
NJ
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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