| Michele J. Dimaira, D.m.d., M.s. Pa | |
|
170 Changebridge Rd Bldg C6 Montville NJ 07045-9113 | |
| (973) 276-7926 | |
| Not Available |
| Full Name | Michele J. Dimaira, D.m.d., M.s. Pa |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 170 Changebridge Rd Bldg C6, Montville, New Jersey |
| Authorized Official Name and Position | Michele J Dimaira (OWNER / PRESIDENT) |
| Authorized Official Contact | 9732767926 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michele J. Dimaira, D.m.d., M.s. Pa 170 Changebridge Rd Bldg C6 Montville NJ 07045-9113 Ph: (973) 276-7926 | Michele J. Dimaira, D.m.d., M.s. Pa 170 Changebridge Rd Bldg C6 Montville NJ 07045-9113 Ph: (973) 276-7926 |
| NPI Number | 1306953567 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306953567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 17382 (New Jersey) | Primary |
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