Ivan Fredric Stein DDS

NPI 1083711469 - Dentist - 1223G0001X

NPI Details
NPI 1083711469
Gender Male
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
769 NORTHFIELD AVE
SUITE 154
WEST ORANGE NJ, 07052-1198, US
Phone (973) 736-0111
Fax (973) 325-6442
Business Location
769 NORTHFIELD AVE
SUITE 154
WEST ORANGE NJ, 07052, US
Phone (973) 258-1905
Fax (973) 379-6665
Toxanomy
Taxonomy Code 1223G0001X
License State New Jersey
License Number 15717
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According to our database, Dr. Ivan Fredric Stein DDS NPI is 1083711469, taxonomy code is 1223G0001X and license number is 15717, license state is located at New Jersey. Ivan Fredric Stein DDS physically located at 769 Northfield Ave, West Orange NJ, 07052-1198. NPI Number Ivan Fredric Stein DDS has the Individual type.

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1083711469 NPI number is provided on an as is basis without warranty of any kind. 1083711469 is maintained by the National Plan & Provider Enumeration System. The contents of Ivan Fredric Stein DDS are for informational purposes only.