Matthew I Milestone Dmd Pa2 | |
502 Pleasant Valley Way West Orange NJ 07052-2802 | |
(973) 325-1777 | |
Not Available |
Full Name | Matthew I Milestone Dmd Pa2 |
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Speciality | Dentist |
Location | 502 Pleasant Valley Way, West Orange, New Jersey |
Authorized Official Name and Position | Matthew Milestone (OWNER) |
Authorized Official Contact | 9733251777 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Matthew I Milestone Dmd Pa2 502 Pleasant Valley Way West Orange NJ 07052-2802 Ph: (973) 325-1777 | Matthew I Milestone Dmd Pa2 502 Pleasant Valley Way West Orange NJ 07052-2802 Ph: (973) 325-1777 |
NPI Number | 1770039968 |
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Provider Enumeration Date | 08/29/2016 |
Last Update Date | 09/08/2016 |
Identifier | Type | State | Issuer |
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1770039968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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