Individual
DR. GARY JOSEPH NICOLETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
130 KINDERKAMACK RD, SUITE #208, RIVER EDGE, NJ 07661-1939
(201) 488-0200
(201) 488-9449
Mailing address
130 KINDERKAMACK RD, SUITE #208, RIVER EDGE, NJ 07661-1939
(201) 488-0200
(201) 488-9449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01517700
NJ
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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