Individual
DARA SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
110 BERGEN ST STE 883A, NEWARK, NJ 07103
(973) 972-1928
Mailing address
65 BEVERLY RD, MONTCLAIR, NJ 07043-2401
(973) 219-2102
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
055954
NY
1223E0200X
Endodontics
Primary
22D102554300
NJ
Other
Enumeration date
08/01/2008
Last updated
07/24/2018
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