Individual
DR. JOERG MILAN SLADKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
224 BURNSIDE PL, RIDGEWOOD, NJ 07450-1743
(201) 444-4213
Mailing address
224 BURNSIDE PL, RIDGEWOOD, NJ 07450-1743
(201) 444-4213
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02113600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8913404
—
NJ
Enumeration date
09/28/2006
Last updated
07/08/2007
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