Individual
DR. DANIEL DIGIACOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1340 HWY 36, SUITE 3, HAZLET, NJ 07730-1735
(732) 739-1111
Mailing address
1340 HWY 36, SUITE 3, HAZLET, NJ 07730-1735
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01053100
NJ
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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