Individual
DR. JON ETHAN GOLUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2185 LEMOINE AVE, FORT LEE, NJ 07024-6036
(201) 944-9208
Mailing address
2185 LEMOINE AVENUE, FORT LEE, NJ 07024
(201) 944-9208
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
NJ
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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