Individual
DR. ANNIA LE GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS, MPH
Contact information
Practice address
5918 BERGENLINE AVE STE 201B, WEST NEW YORK, NJ 07093-1392
(201) 662-0662
Mailing address
256 E 6TH ST, CLIFTON, NJ 07011-1742
(973) 800-6782
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02597800
NJ
Other
Enumeration date
08/25/2014
Last updated
03/08/2017
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