Individual
PAUL AMIL DIMITREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7143
Mailing address
387 BROADWAY, BAYONNE, NJ 07002-3659
(201) 463-5144
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02756700
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
01/13/2021
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