Individual
CATHERINE PYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
470 PROSPECT AVE STE 301, WEST ORANGE, NJ 07052-4106
(862) 233-7057
Mailing address
470 PROSPECT AVE STE 301, WEST ORANGE, NJ 07052-4106
(862) 233-7057
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
059433-01
NY
122300000X
Dentist
Primary
DI02677500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/31/2016
Last updated
09/01/2020
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