Organization
FIORENTINI FAMILY DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO SEVERINO FIORENTINI DMD (SOLE MEMBE)
(609) 655-1023
Entity
Organization
Contact information
Practice address
294 APPLEGARTH RD, SUITE H, MONROE TOWNSHIP, NJ 08831-3798
(609) 655-1023
Mailing address
294 APPLEGARTH RD, SUITE H, MONROE TWP, NJ 08831-3798
(609) 655-1023
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI013528000
NJ
Other
Enumeration date
03/27/2014
Last updated
01/07/2015
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