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1609049907
MELINDA WAGNER
RED BANK, NJ
NPI
1609049907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NJ 14142)
Enumeration Date
2008-04-08
Last Update Date
2008-04-08
Business Address
-- MELINDA WAGNER DMD
191 BROAD ST
RED BANK, NJ 07701-2015
Phone number: 732-747-2022
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Mailing Address
-- MELINDA WAGNER DMD
191 BROAD ST
RED BANK, NJ 07701-2015
Phone number: 732-747-2022
Copy
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