Individual
JOANN DIANJOELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3700 NEW JERSEY AVE, WILDWOOD, NJ 08260-6154
(856) 451-4700
(856) 575-0818
Mailing address
53 S LAUREL ST, BRIDGETON, NJ 08302-1946
(856) 451-4700
(856) 575-0818
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
22HI01051600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22HI01051600
LICENSE
NJ
Enumeration date
10/11/2018
Last updated
10/11/2018
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