Organization
WEMROCK (FREEHOLD) DENTAL ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MUCCIARIELLO (ADMIN. ASST.)
(732) 750-0707
Entity
Organization
Contact information
Practice address
503 STILLWELLS CORNER RD, FREEHOLD, NJ 07728-2965
(732) 462-0774
Mailing address
1030 SAINT GEORGES AVE, AVENEL, NJ 07001-1390
(732) 750-0707
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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