Individual
DR. MICHAEL D FLEISIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
517 N MONROE ST, RIDGEWOOD, NJ 07450-1410
(201) 445-4899
Mailing address
517 N MONROE ST, RIDGEWOOD, NJ 07450-1410
(201) 445-4899
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7470
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7470
NJ DENTAL LICENSE NUMBER
NJ
Enumeration date
02/08/2008
Last updated
02/08/2008
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