Organization
ST MICHAEL DENTAL CLINIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA YANNI D.M.D. (PRESIDENT)
(201) 993-9181
Entity
Organization
Contact information
Practice address
664 BROADWAY, BAYONNE, NJ 07002-4726
(201) 823-2062
(201) 858-8696
Mailing address
664 BROADWAY, BAYONNE, NJ 07002-4726
(201) 823-2062
(201) 858-8696
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
22DI02492200
NJ
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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