VI MA

JERSEY CITY, NJ
NPI1518800820
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2026-04-11
Last Update Date2026-04-11
Business Address
VI MA DMD
418 SUMMIT AVE
JERSEY CITY, NJ 07306-3101
Phone number: 201-946-6802
Mailing Address
VI MA DMD
1107 MAGEE AVE
PHILADELPHIA, PA 19111-4939
Phone number: 267-961-4385
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