Individual
MICHAEL CICALESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
193 FAIRFIELD RD, FAIRFIELD, NJ 07004-2472
(973) 227-0650
(973) 227-8148
Mailing address
193 FAIRFIELD RD, FAIRFIELD, NJ 07004-2472
(973) 227-0650
(973) 227-8148
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI021633
NJ
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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