Individual
DR. WAYNE ALLEN ALDREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
230 CENTRE ST, NUTLEY, NJ 07110
(973) 661-2992
(973) 661-3513
Mailing address
230 CENTRE ST, NUTLEY, NJ 07110
(973) 661-2992
(973) 661-3513
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D118768
NJ
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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