DR. Diana Bucolo-Van Dyke, DDS, MPH
NPI #1265634737 in Perth Amboy, New Jersey
Provider Information
- NPI Number
- 1265634737
- Entity Type
- Individual
- Name
- DR. Diana Bucolo-Van Dyke, DDS, MPH
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS, MPH
- Enumeration Date
- Jun 5, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 485 NEW BRUNSWICK AVE
- City
- Perth Amboy
- State
- New Jersey
- ZIP Code
- 08861-3675
- Phone
- (732) 442-5390
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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