Individual
CLARE MALOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
25-15 BROADWAY, FAIR LAWN, NJ 07410-3813
(201) 254-2969
Mailing address
25-15 BROADWAY, FAIR LAWN, NJ 07410-3813
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
059192-1
NY
1223G0001X
General Practice Dentistry
22DI02990400
NJ
1223P0221X
Pediatric Dentistry
059192-1
NY
1223P0221X
Pediatric Dentistry
Primary
07270
NJ
Other
Enumeration date
06/08/2016
Last updated
06/20/2024
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