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Individual

DR. JOSEPH JOHN PORTALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
555 BERGEN BLVD, RIDGEFIELD, NJ 07657-2020
(201) 945-5777
(201) 945-5667
Mailing address
555 BERGEN BLVD, RIDGEFIELD, NJ 07657-2020
(201) 945-5777
(201) 945-5667

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI00945900
NJ

Other

Enumeration date
10/18/2006
Last updated
07/08/2007
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