Individual
DR. GARY R MAITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
919 BROADWAY, BAYONNE, NJ 07002-3051
(201) 858-8584
(201) 858-4231
Mailing address
919 BROADWAY, P.O. BOX 974, BAYONNE, NJ 07002-3051
(201) 858-8584
(201) 858-4231
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14066
NJ
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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