Organization
MICHELE J. DIMAIRA, D.M.D., M.S. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE J DIMAIRA D.M.D., M.S. (OWNER / PRESIDENT)
(973) 276-7926
Entity
Organization
Contact information
Practice address
170 CHANGEBRIDGE RD BLDG C6, MONTVILLE, NJ 07045-9113
(973) 276-7926
Mailing address
170 CHANGEBRIDGE RD BLDG C6, MONTVILLE, NJ 07045-9113
(973) 276-7926
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
17382
NJ
Other
Enumeration date
08/24/2006
Last updated
08/22/2020
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