Individual
MR. MANUEL A MARMOLEJOS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
125 HAMILTON ST, BOUNDBROOK, NJ 08805
(732) 356-6665
(732) 356-9116
Mailing address
125 HAMILTON ST, BOUNDBROOK, NJ 08805
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2099401
NJ
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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