Individual
DR. JERRY H STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8-10 SADDLE RIVER RD, FAIR LAWN, NJ 07410-5720
(201) 797-8711
(201) 791-7893
Mailing address
13-36 LYLE TER, FAIR LAWN, NJ 07410-5146
(201) 797-4546
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
037550-1
NY
1223G0001X
General Practice Dentistry
Primary
14077
NJ
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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