Individual
DR. MARY ELIZABETH GIACONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1200 E RIDGEWOOD AVE, RIDGEWOOD, NJ 07450-3957
(201) 652-2707
Mailing address
4 OVERLOOK LN, MENDHAM, NJ 07945-2307
(646) 734-4690
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
051304
NY
1223P0221X
Pediatric Dentistry
Primary
22DI02283300
NJ
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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