Individual
SIEGFRIED WILLEM TJONAJONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD MSD
Contact information
Practice address
947 LINWOOD AVE STE 1, ORAL & MAXILLOFACIAL PROSTHODONTICS, RIDGEWOOD, NJ 07450-2939
(201) 670-4800
(201) 670-6776
Mailing address
947 LINWOOD AVENUE SUITE 1 NORTH, ORAL & MAXILLOFACIAL PROSTHODONTICS, RIDGEWOOD, NJ 07450
(201) 670-4800
(201) 670-6776
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DIO1785000
NJ
1223P0700X
Prosthodontics
NJ-3807
NJ
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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