Individual
JOHN K MCNALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
170 CHANGEBRIDGE RD, A4-1, MONTVILLE, NJ 07045-9115
(973) 882-1516
(973) 882-6578
Mailing address
401 FORBUSH ST, BOONTON, NJ 07005-2031
(973) 335-2784
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI00981300
NJ
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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