Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Dental |
261QD0000X |
| NPI Number | 1447857685 |
| LBN Legal business name | DENTAL HEALTH CENTER OF MONMOUTH BEACH |
| Authorized official | MICHAEL DICARLO - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/01/2020 |
| Last updated | 10/19/2020 - About 6 years ago |
| Identifiers | n/a |
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