Organization
COLONIA DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN JAMES CENNAMO D.D.S. (SEC/TREAS.)
(732) 381-7171
Entity
Organization
Contact information
Practice address
422 FAIRVIEW AVE, COLONIA, NJ 07067-3717
(732) 381-7171
(732) 499-7958
Mailing address
422 FAIRVIEW AVE, COLONIA, NJ 07067-3717
(732) 381-7171
(732) 499-7958
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI012965
NJ
Other
Enumeration date
08/17/2006
Last updated
08/22/2020
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