Coastal Dental Group South LLC
NPI #1205202850 in Point Pleasant Boro, New Jersey
Provider Information
- NPI Number
- 1205202850
- Entity Type
- Organization
- Organization Name
- Coastal Dental Group South LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Aug 18, 2015
- Last Updated
- Aug 18, 2015
Practice Location
- Address
- 2407 BRIDGE AVE
- State
- New Jersey
- ZIP Code
- 08742-4334
- Phone
- (732) 714-1030
Authorized Official
- Name
- DR. JOSEPH RICHARD ZICCHINO, D.D.S.
- Title
- OWNER/DENTIST
- Phone
- (732) 714-1030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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