Organization
MITCHELL H. DAVICH, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA L. DAVICH (BUSINESS MANAGER)
(973) 898-0100
Entity
Organization
Contact information
Practice address
95 MADISON AVE, SUITE A02, MORRISTOWN, NJ 07960-6092
(973) 898-0100
Mailing address
95 MADISON AVE, SUITE A02, MORRISTOWN, NJ 07960-6092
(973) 898-0100
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
22DI01228100
NJ
Other
Enumeration date
11/15/2006
Last updated
08/05/2008
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