Mary T Mancuso, D.M.D.

NPI #1043316698 in Fair Lawn, New Jersey

Provider Information

NPI Number: 1043316698
Entity Type: Individual
Name: Mary T Mancuso, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Sep 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 27-11 PELLACK DR
City: Fair Lawn
State: New Jersey
ZIP Code: 07410-3723
Phone: (201) 796-7171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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