Individual
KAITLYN CLAIRE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2739 ROUTE 23, STOCKHOLM, NJ 07460-1304
(973) 697-5440
Mailing address
130 NEW RD APT D10, PARSIPPANY, NJ 07054-4253
(973) 525-9849
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02838700
NJ
Other
Enumeration date
06/05/2021
Last updated
12/16/2022
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