Organization
NETTUNE & BANASIAK ORTHODONTICS ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER CRAIG NETTUNE DMD MS (PRESIDENT)
(908) 766-2444
Entity
Organization
Contact information
Practice address
65 S MAPLE AVE, BASKING RIDGE, NJ 07920
(908) 766-2444
(908) 221-9655
Mailing address
65 S MAPLE AVE, BASKING RIDGE, NJ 07920
(908) 766-2444
(908) 221-9655
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
NJ
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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