Individual
ALLYSON VIVENTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 W GLENCOVE AVE, NORTHFIELD, NJ 08225-1707
(973) 670-9216
Mailing address
203 W GLENCOVE AVE, NORTHFIELD, NJ 08225-1707
(973) 670-9216
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
22HI00931700
NJ
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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