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1396039087
LISA MARIE INDELICATO
LONG BRANCH, NJ
NPI
1396039087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NJ 22DI02471800)
Enumeration Date
2011-05-31
Last Update Date
2011-05-31
Business Address
Dr. LISA MARIE INDELICATO D.M.D
300 2ND AVE
LONG BRANCH, NJ 07740-6303
Phone number: 732-923-6585
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Mailing Address
Dr. LISA MARIE INDELICATO D.M.D
192 SPRING ST
STATEN ISLAND, NY 10304-1428
Phone number: 718-757-1284
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