# MATTHEW I MILESTONE DMD PA2

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

## Provider details

- **NPI number:** 1770039968
- **Authorized official:** MATTHEW MILESTONE (OWNER)
- **Authorized official phone:** (973) 325-1777

## Contact information

- **Practice address:** 502 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-2802
- **Practice address phone:** (973) 325-1777
- **Mailing address:** 502 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-2802
- **Mailing address phone:** (973) 325-1777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 08/29/2016
- **Last updated:** 09/08/2016
