Individual
DR. LJILJANA STANISIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1 WHEATLEY BLVD, MULLICA HILL, NJ 08062-9622
(856) 223-0041
Mailing address
1 WHEATLEY BLVD, MULLICA HILL, NJ 08062-9622
(347) 583-0624
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02478100
NJ
1223G0001X
General Practice Dentistry
Primary
22DI02478100
NJ
1223G0001X
General Practice Dentistry
DS038761
PA
Other
Enumeration date
09/15/2011
Last updated
06/05/2024
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