Individual
DR. PATRICK R DISCEPOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
211 MONMOUTH RD, WEST LONG BRANCH, NJ 07764-1031
(732) 870-0007
(732) 870-0151
Mailing address
211 MONMOUTH RD, WEST LONG BRANCH, NJ 07764-1031
(732) 870-0007
(732) 870-0151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01409400
NJ
Other
Enumeration date
04/30/2007
Last updated
07/08/2007
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