Individual
DR. DIANE MARIE MIHALOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
385 TREMONT AVE, VA-NJ HEALTH CARE SYSTEM DENTAL SERVICE (160), EAST ORANGE, NJ 07018-1023
(973) 676-1000
Mailing address
1110 WASHINGTON VALLEY RD, BASKING RIDGE, NJ 07920-3430
(908) 658-4898
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01324500
NJ
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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