Individual
AWS DARALDIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1053 BLOOMFIELD AVE STE 14, CLIFTON, NJ 07012-2120
(973) 932-4422
Mailing address
187 HADLEY AVE, CLIFTON, NJ 07011-3371
(973) 932-4422
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02913100
NJ
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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