Individual
TRENT IRIL DILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 VINE AVE, IRVINGTON, NJ 07111-3811
(862) 338-2998
Mailing address
40 VINE AVE, IRVINGTON, NJ 07111-3811
(862) 338-2998
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D43747506906862
NJ
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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