Organization
PALISDES PERIODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA MARRONE DDS (OWNER)
(201) 585-8282
Entity
Organization
Contact information
Practice address
1530 PALISADE AVE, FORT LEE, NJ 07024-5471
(201) 585-8282
Mailing address
1530 PALISADE AVE, FORT LEE, NJ 07024-5471
(201) 585-8282
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DI15888-01
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DI15888-01
DENTAL LICENSE
NJ
Enumeration date
05/01/2008
Last updated
05/01/2008
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