Organization
MASELLA FAMILY DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAMES MASELLA D.M.D. (OWNER)
(973) 226-3242
Entity
Organization
Contact information
Practice address
195 FAIRFIELD AVE, SUITE 3A, WEST CALDWELL, NJ 07006-6424
(973) 226-3242
(973) 228-6169
Mailing address
195 FAIRFIELD AVE, SUITE 3A, WEST CALDWELL, NJ 07006-6424
(973) 226-3242
(973) 228-6169
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI02287800
NJ
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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