Individual
DR. ANDREW WILDEMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
451 MARTIN TRUEX JR BLVD, MANAHAWKIN, NJ 08050-2847
(609) 994-5411
Mailing address
555 1ST ST APT 114, HARRISON, NJ 07029-3179
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02892800
NJ
Other
Enumeration date
06/15/2021
Last updated
04/06/2022
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