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Organization
MIDLAND FAMILY DENTAL CARE,PA
Active
Organization
MIDLAND FAMILY DENTAL CARE,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED ANTHONY PUCCIO DDS (PRESIDENT)
(973) 340-4484
Entity
Organization
Contact information
Practice address
765 MIDLAND AVE, GARFIELD, NJ 07026-2100
(973) 340-4484
(973) 340-2282
Mailing address
765 MIDLAND AVE, GARFIELD, NJ 07026-2100
(973) 340-4484
(973) 340-2282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19162
NJ
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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