Individual
MRS. TAMARA BRISKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD DENTIST
Contact information
Practice address
12-18 RIVER RD, FAIR LAWN, NJ 07410
(201) 796-6787
(201) 796-8133
Mailing address
12-18 RIVER RD, FAIR LAWN, NJ 07410
(201) 796-6787
(201) 796-8133
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
017536
NJ
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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