Organization
MONTVILLE ORTHODONTIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER JOHN ANTONELLIS D.M.D. (PRESIDENT)
(973) 227-1132
Entity
Organization
Contact information
Practice address
170 CHANGEBRIDGE RD, UNIT C 5-2, MONTVILLE, NJ 07045-9115
(973) 227-1132
(973) 227-3006
Mailing address
170 CHANGEBRIDGE RD, UNIT C 5-2, MONTVILLE, NJ 07045-9115
(973) 227-1132
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13056
NJ
Other
Enumeration date
10/23/2006
Last updated
08/05/2008
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