Individual
JACY PAPASIKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
55 PARK ST, MONTCLAIR, NJ 07042-3439
(908) 246-4960
Mailing address
55 PARK ST, MONTCLAIR, NJ 07042-3439
(908) 246-4960
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02491000
NJ
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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