DR. Joachim M Provenzano, D.M.D.

NPI #1942328562 in Belvidere, New Jersey

Provider Information

NPI Number: 1942328562
Entity Type: Individual
Name: DR. Joachim M Provenzano, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Mar 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 984 BRASS CASTLE RD
City: Belvidere
State: New Jersey
ZIP Code: 07823-2752
Phone: (908) 475-3641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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