Individual
DR. ELIZABETH C FANCIULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
257 MONMOUTH RD BLDG B, OAKHURST, NJ 07755
(732) 531-0777
Mailing address
257 MONMOUTH RD BLDG B, OAKHURST, NJ 07755-1500
(732) 531-0777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02586400
NJ
Other
Enumeration date
10/04/2014
Last updated
05/09/2019
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