Most Relevant Information
Provider Data
| NPI Number: | 1003076589 |
| Provider Name: | DOMINIC PISANO DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 22DI009476 |
Most Important Dates
| Enumeration Date: | 06/10/2008 |
| Last Updated: | 03/16/2016 |
Provider Practice Location
70 LACEY RD
WHITING
NJ
087592931
Practice Location Phone/Fax
| Phone: | 7323507999 |
| Fax: | 7323507961 |
Provider Mailing Location
70 LACEY RD
WHITING
NJ
087592931
Provider Mailing Phone/Fax
| Phone: | 7323507999 |
| Fax: | 7323507961 |