Individual
DR. RALPH G MAINES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1109 TICE PL, WESTFIELD, NJ 07090-2717
(980) 232-3218
Mailing address
1109 TICE PL, WESTFIELD, NJ 07090-2717
(980) 232-3218
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01422100
NJ
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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