Epp New Jersey LLC
NPI #1194546770 in South Orange, New Jersey
Provider Information
- NPI Number
- 1194546770
- Entity Type
- Organization
- Organization Name
- Epp New Jersey LLC
- Primary Specialty
- Dentist - Endodontics
- Enumeration Date
- Oct 17, 2024
- Last Updated
- Oct 17, 2024
Practice Location
- Address
- 71 VALLEY ST STE 100
- City
- South Orange
- State
- New Jersey
- ZIP Code
- 07079-2825
- Phone
- (862) 250-6952
Authorized Official
- Name
- JASON BERTOLLINI
- Title
- CREDENTIALING MANAGER
- Phone
- (315) 450-0763
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
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