Individual
DR. JONATHAN LAWRENCE NOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
140 MARKET ST, 3RD FLOOR, PATERSON, NJ 07505-1471
(973) 742-4200
(973) 742-4997
Mailing address
65 HADDENFIELD RD, CLIFTON, NJ 07013-3907
(973) 742-4200
(973) 742-4997
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02232601
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083488
—
NJ
Enumeration date
03/19/2007
Last updated
02/13/2013
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