Organization
GREGORY VANVLIETDDS,PETER PERERA DMD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY VANVLIET D.D.S. (OWNER)
(973) 427-0300
Entity
Organization
Contact information
Practice address
33 SICOMAC RD, NORTH HALEDON, NJ 07508-2971
(973) 427-0300
(973) 427-7745
Mailing address
33 SICOMAC RD, NORTH HALEDON, NJ 07508-2971
(973) 427-0300
(973) 427-7745
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01271000
NJ
Other
Enumeration date
11/30/2006
Last updated
08/22/2020
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