Organization
ALLIANCE DENTAL SPECIALTIES OF MANAHAWKIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FRATTELLONE DMD (OWNER)
(732) 842-5915
Entity
Organization
Contact information
Practice address
1301 ROUTE 72 EAST, SUITE 220, MANAHAWKIN, NJ 08050-2483
(609) 978-6400
(732) 842-5910
Mailing address
515 NEWMAN SPRINGS RD, LINCROFT, NJ 07738-1426
(732) 842-5915
(732) 842-5910
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
16514
NJ
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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