Individual
SAMANTHA FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1029 SYCAMORE AVE, TINTON FALLS, NJ 07724-3186
(732) 963-8680
(732) 963-8780
Mailing address
37 CHARLES DR, TINTON FALLS, NJ 07753-7902
(908) 489-5935
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
22DP00734700
NJ
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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