| Steven A Menillo, Dds | |
|
315 Rochelle Ave Rochelle Park NJ 07662-3916 | |
| (201) 843-1015 | |
| (201) 843-1036 |
| Full Name | Steven A Menillo, Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 315 Rochelle Ave, Rochelle Park, New Jersey |
| Authorized Official Name and Position | Steven A Menillo (OWNER) |
| Authorized Official Contact | 2018431015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven A Menillo, Dds 315 Rochelle Ave Rochelle Park NJ 07662-3916 Ph: (201) 843-1015 | Steven A Menillo, Dds 315 Rochelle Ave Rochelle Park NJ 07662-3916 Ph: (201) 843-1015 |
| NPI Number | 1750878583 |
|---|---|
| Provider Enumeration Date | 04/17/2018 |
| Last Update Date | 04/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750878583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 14867 (New Jersey) | Primary |
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