Individual
DR. MICHAEL ETHAN SKOLNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
66 SOMME ST, 2ND FLOOR, NEWARK, NJ 07105-3612
(973) 578-8788
Mailing address
515 SPRINGFIELD AVE, BERKELEY HEIGHTS, NJ 07922-1180
(908) 464-6789
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
052662-1
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02353600
NJ
Other
Enumeration date
09/12/2007
Last updated
09/30/2014
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