DR. Lisa Marie Indelicato, D.M.D

NPI #1396039087 in Long Branch, New Jersey

Provider Information

NPI Number: 1396039087
Entity Type: Individual
Name: DR. Lisa Marie Indelicato, D.M.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D
Enumeration Date: May 31, 2011
Last Updated: May 31, 2011

Practice Location

Address: 300 2ND AVE
City: Long Branch
State: New Jersey
ZIP Code: 07740-6303
Phone: (732) 923-6585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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