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Individual

DR. MATTHEW M VACCARO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
661 SHUNPIKE RD STE 1, GREEN VILLAGE, NJ 07935-3022
(973) 377-8811
(973) 377-8847
Mailing address
661 SHUNPIKE RD STE 1, GREEN VILLAGE, NJ 07935-3022
(973) 377-8811
(973) 377-8847

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
22DIO2128800
NJ
1223G0001X
General Practice Dentistry
Primary
22DI02128800
NJ

Other

Enumeration date
01/03/2007
Last updated
05/26/2022
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