Individual
DR. BARRY I SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D. S.
Contact information
Practice address
90 BERGEN ST, SUITE 7700, NEWARK, NJ 07103-2425
(973) 972-2444
Mailing address
110 BERGEN ST, NEW JERSEY DENTAL SCHOOL, C-781, NEWARK, NJ 07103-2495
(973) 972-4210
(973) 972-3884
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22D100830400
NJ
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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