Individual
DR. JOHN CARLO MINICHETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
370 GRAND AVE, SUITE 200, ENGLEWOOD, NJ 07631-4154
(201) 871-3555
(201) 871-9096
Mailing address
370 GRAND AVE, SUITE 200, ENGLEWOOD, NJ 07631-4154
(201) 871-3555
(201) 871-9096
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13552
NJ
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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