Individual
DR. LEO PAIGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
110 BERGEN ST, ROOM D-854, NEWARK, NJ 07103-2495
(973) 972-5026
Mailing address
2 WENNING CT, OAKHURST, NJ 07755-1560
(732) 245-3848
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DR02232
NJ
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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