Individual
MICHAEL MATTHIEW MESSANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
42 LOCUST LN, EAST RUTHERFORD, NJ 07073-1014
(973) 473-4413
(201) 623-2500
Mailing address
42 LOCUST LN, EAST RUTHERFORD, NJ 07073-1014
(973) 473-4413
(201) 623-2500
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0401511535
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
044592-1
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DI018514
NJ
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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