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Individual

DR. JOHN EDWARD DINAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD, MS

Contact information

Practice address
630 FIFTH AVE, SUITE 1857, NEW YORK, NY 10111-1868
(212) 969-9166
(212) 265-1767
Mailing address
630 FIFTH AVE, SUITE 1857, NEW YORK, NY 10111-1868
(212) 969-9166
(212) 265-1767

Taxonomy

Speciality
Code
Description
License number
State
1223X2210X
Orofacial Pain Dentistry
Primary
062947-01
NY
1223X2210X
Orofacial Pain Dentistry
22DI02542300
NJ

Other

Enumeration date
02/10/2013
Last updated
02/07/2024
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