Organization
EAST RUTHERFORD ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL F MESSANA DMD (DOCTOR)
(973) 473-4413
Entity
Organization
Contact information
Practice address
7521 AMBOY RD, STATEN ISLAND, NY 10307-1429
(718) 984-1720
Mailing address
42 LOCUST LN, EAST RUTHERFORD, NJ 07073-1014
(973) 473-4413
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
044592-1
NY
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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