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Organization
PERIODONTICS CENTER
Active
Organization
PERIODONTICS CENTER
Active
Parent organization
PERIODONTICS CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
PERIODONTICS CENTER
Authorized official
KIM YACONO (OFFICE MANAGER)
(973) 379-6400
Entity
Organization
Contact information
Practice address
116 MILLBURN AVE STE 204, MILLBURN, NJ 07041-1919
(973) 379-6400
(973) 379-6430
Mailing address
116 MILLBURN AVE STE 204, MILLBURN, NJ 07041-1919
(973) 379-6400
(973) 379-6430
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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