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Organization

ELITE ORTHODONTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RYAN C MAHER DMD (MANAGING MEMBER)
(973) 706-8339
Entity
Organization

Contact information

Practice address
61 BERDAN AVE, WAYNE, NJ 07470-3231
(973) 706-8339
Mailing address
61 BERDAN AVE, WAYNE, NJ 07470-3231
(973) 706-8339

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
02/19/2020
Last updated
02/19/2020
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