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Individual

DR. ALLA FESTINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
301 PROSPECT AVE, PINE BEACH, NJ 08741-1044
(732) 341-1200
(732) 557-4542
Mailing address
301 PROSPECT AVE, PINE BEACH, NJ 08741-1044
(732) 341-1200
(732) 557-4542

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02070300
NJ
1223G0001X
General Practice Dentistry
Primary
22DI02070300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0221571
NJ
Enumeration date
07/17/2006
Last updated
03/04/2010
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