Organization
MIDLAND FAMILY DENTAL CARE OF WYCKOFF, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED A PUCCIO DDS (PRESIDENT/GENERAL DENTIST)
(201) 206-4097
Entity
Organization
Contact information
Practice address
243 MORSE AVE, WYCKOFF, NJ 07481-1917
(201) 485-8848
(201) 485-8851
Mailing address
243 MORSE AVE, WYCKOFF, NJ 07481-1917
(201) 485-8848
(201) 485-8851
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01916200
NJ
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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