Individual
JESSICA MARINOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1000 ATLANTIC AVE, CAMDEN, NJ 08104-1132
(215) 317-5869
(856) 246-3550
Mailing address
1000 ATLANTIC AVE, CAMDEN, NJ 08104-1132
(215) 317-5869
(856) 246-3550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02464800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0290661
—
NJ
Enumeration date
04/13/2011
Last updated
02/19/2013
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