Individual
JUSTIN SHANE DINOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2455 ROUTE 516 FL 1, OLD BRIDGE, NJ 08857-1892
(732) 679-2323
Mailing address
124 MICKI DR, MORGANVILLE, NJ 07751-1659
(732) 535-0538
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI02830300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/05/2020
Last updated
03/26/2023
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