Individual
DR. MICHAEL JEFFREY SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
385 TREMONT AVE, DENTAL SERVICE (160), EAST ORANGE, NJ 07018-1023
(973) 676-1000
(973) 395-7019
Mailing address
385 TREMONT AVE, DENTAL SERVICE (160), EAST ORANGE, NJ 07018-1023
(973) 676-1000
(973) 395-7019
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DI11071
NJ
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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