Individual
DR. JEFFREY MICHAEL DESIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
393 QUAKER CHURCH RD, RANDOLPH, NJ 07869-1319
(862) 397-3434
(862) 397-3435
Mailing address
83 ELM PL, NUTLEY, NJ 07110-1201
(973) 454-7260
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02930200
NJ
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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