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1780940395
1137 FORT LEE LLC
FORT LEE, NJ
NPI
1780940395
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Entity Type
Organization
Authorized Contact
JOSEPH MAURIELLO
Dentist
201-224-8180
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2012-04-09
Last Update Date
2012-04-09
Business Address
1137 FORT LEE LLC
1625 ANDERSON AVE
FORT LEE, NJ 07024-2748
Phone number: 201-944-1260
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Mailing Address
1137 FORT LEE LLC
1625 ANDERSON AVE
FORT LEE, NJ 07024-2748
Phone number: 201-944-1260
Copy
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