Individual
JOHN PETER TRABUCHI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
717 E ELMER ST, VINELAND, NJ 08360-4758
(856) 691-2656
Mailing address
717 E ELMER ST, VINELAND, NJ 08360-4758
(856) 691-2656
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01141000
NJ
Other
Enumeration date
05/18/2008
Last updated
05/18/2008
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