Jp Oral Surgery Associates PC
NPI #1174986822 in Tinton Falls, New Jersey
Provider Information
- NPI Number
- 1174986822
- Entity Type
- Organization
- Organization Name
- Jp Oral Surgery Associates PC
- Primary Specialty
- Clinic/Center - Oral and Maxillofacial Surgery
- Enumeration Date
- Mar 31, 2016
- Last Updated
- Mar 31, 2016
Practice Location
- Address
- 21 N GILBERT ST
- Address 2
- SUITE 210
- City
- Tinton Falls
- State
- New Jersey
- ZIP Code
- 07701-4950
- Phone
- (732) 747-0993
Authorized Official
- Name
- MR. JUSTIN CHARLES PONQUINETTE, DMD
- Title
- OWNER
- Phone
- (732) 747-0993
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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