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NPI Code Detail

MEDICARE: JEAN-CLAUDE DUNGASI MABEYI DDS

MEDICARE:   JEAN-CLAUDE  DUNGASI MABEYI  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDI02312500NJ

General Provider Information

NPI Number : 1265464762
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEAN-CLAUDE DUNGASI MABEYI DDS
Provider Business Mailing Address
First Line : 53 S LAUREL ST
Second Line : SECOND FLOOR
City : BRIDGETON
State : NJ
Zip : 08302-1946
Country : US
Telephone Number : 856-451-4700
Fax Number : 856-863-5732
Provider Business Practice Location Address
First Line : 53 S LAUREL ST
Second Line : SECOND FLOOR
City : BRIDGETON
State : NJ
Zip : 08302-1946
Country : US
Telephone Number : 856-451-4700
Fax Number : 856-863-5732
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 02/24/2012

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Directions to “ JEAN-CLAUDE DUNGASI MABEYI DDS” Practice Location

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