Individual
DR. KATHLEEN ELIZABETH LOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
925 CEDARBRIDGE AVE, BRICK, NJ 08723-4111
(732) 477-5777
Mailing address
691 MICHAEL DR, TOMS RIVER, NJ 08753-5684
(732) 288-9616
(732) 288-0775
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI 15126
NJ
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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