LEE A REVERENDO

NEWARK, NJ
NPI1134242373
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NJ  DI018176)
Enumeration Date2007-04-10
Last Update Date2007-07-08
Business Address
LEE A REVERENDO D.D.S.
350 LAFAYETTE ST
NEWARK, NJ 07105-2725
Phone number: 973-589-2904
Mailing Address
LEE A REVERENDO D.D.S.
350 LAFAYETTE ST
NEWARK, NJ 07105-2725
Phone number: 973-589-2904
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