Individual
JENNIFER RUTH SILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
182 FRANKLIN AVE, RIDGEWOOD, NJ 07450-3206
(201) 444-1712
Mailing address
55 E 86TH ST, APARTMENT 4C, NEW YORK, NY 10028-1059
(646) 924-8555
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
054385
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02426700
NJ
Other
Enumeration date
02/27/2010
Last updated
02/27/2010
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