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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