# MIDLAND FAMILY DENTAL CARE OF WYCKOFF, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316373756
- **Authorized official:** DR. FRED A PUCCIO DDS (PRESIDENT/GENERAL DENTIST)
- **Authorized official phone:** (201) 206-4097

## Contact information

- **Practice address:** 243 MORSE AVE, WYCKOFF, NJ 07481-1917
- **Practice address phone:** (201) 485-8848
- **Practice address fax:** (201) 485-8851
- **Mailing address:** 243 MORSE AVE, WYCKOFF, NJ 07481-1917
- **Mailing address phone:** (201) 485-8848
- **Mailing address fax:** (201) 485-8851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI01916200 | NJ | Yes |

## Other

- **Enumeration date:** 09/17/2013
- **Last updated:** 09/17/2013