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1801016910
PATRICK R DISCEPOLA
WEST LONG BRANCH, NJ
NPI
1801016910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NJ 22DI01409400)
Enumeration Date
2007-04-30
Last Update Date
2007-07-08
Business Address
DR. PATRICK R DISCEPOLA D.M.D.
211 MONMOUTH RD
WEST LONG BRANCH, NJ 07764-1031
Phone number: 732-870-0007
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Mailing Address
DR. PATRICK R DISCEPOLA D.M.D.
211 MONMOUTH RD
WEST LONG BRANCH, NJ 07764-1031
Phone number: 732-870-0007
Copy
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