Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Comprehensive & Cosmetic & General Dististry

Organization Dentist · NPI 1104930668

Comprehensive & Cosmetic & General Dististry is a Dentist in Wall Township, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006

Practice location Address checks out

3350 State Route 138 Ste 127
Wall Township, NJ 07719-9693
Phone: (732) 556-9600
Fax: (732) 556-9601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 11320 (NJ)

Record details

NPI number1104930668
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Mancino — Owner,President · (732) 556-9600
NPI enumeratedAugust 19, 2006
Last updated in NPPESMay 6, 2015
Mailing address3350 State Route 138, Ste 127, Wall Township, NJ 07719-9693

Other providers in Wall Township