Individual
DR. MAANO MILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
110 BERGEN ST, DEPT. OMFS UMDNJ/NJDS, NEWARK, NJ 07101-1709
(973) 972-4238
(973) 972-7322
Mailing address
110 BERGEN ST, DEPT. OMFS UMDNJ/NJDS, NEWARK, NJ 07103-2495
(973) 972-4238
(973) 972-7322
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9165
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1994808
—
NJ
Enumeration date
05/18/2006
Last updated
12/13/2007
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