Individual
VANESSA GANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 828-3000
Mailing address
182 VALLEY RD, RIVER EDGE, NJ 07661
(551) 497-0464
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22D102627600
NJ
Other
Enumeration date
03/09/2016
Last updated
06/15/2016
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