Individual
DR. PATRICIA DIBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
654 AVENUE C STE 202, BAYONNE, NJ 07002-3899
(201) 436-7777
Mailing address
654 AVENUE C STE 202, BAYONNE, NJ 07002-3899
(201) 436-7777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
053507
NY
1223P0221X
Pediatric Dentistry
053501
NY
1223P0221X
Pediatric Dentistry
Primary
22DI02394700
NJ
Other
Enumeration date
09/10/2008
Last updated
01/23/2024
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