Individual
DENA CONSTANDELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
465 VALLEY RD, CLIFTON, NJ 07013-2234
(973) 684-1078
Mailing address
48 ABBOTT RD, TOWACO, NJ 07082-1252
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02448000
NJ
Other
Enumeration date
06/23/2010
Last updated
09/06/2011
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