Organization
COASTAL MONMOUTH DENTAL SPECIALISTS, LLC
Active
Other names
Jersey Shore Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW RICHARD SAMUEL DMD (MANAGING MEMBER)
(732) 531-4411
Entity
Organization
Contact information
Practice address
1300 STATE ROUTE 35, PLAZA 1 SUITE 202, OCEAN, NJ 07712
(732) 531-4411
(732) 531-3350
Mailing address
1300 STATE ROUTE 35, PLAZA 1 SUITE 202, OCEAN, NJ 07712
(732) 531-4411
(732) 531-3350
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
07/19/2020
Last updated
07/19/2020
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