Individual
DR. MICHELE J DIMAIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S.
Contact information
Practice address
170 CHANGEBRIDGE RD BLDG C6, MONTVILLE, NJ 07045-9113
(973) 276-7926
Mailing address
170 CHANGEBRIDGE RD BLDG C6, MONTVILLE, NJ 07045-9113
(973) 276-7926
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
17382
NJ
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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