DR. Basiliso Paterno Tiu, DMD

NPI #1003020512 in Edgewater, New Jersey

Provider Information

NPI Number: 1003020512
Entity Type: Individual
Name: DR. Basiliso Paterno Tiu, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: May 10, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 725 RIVER RD
Address 2: SUITE 104 EDGEWATER PLAZA
City: Edgewater
State: New Jersey
ZIP Code: 07020
Phone: (201) 943-6644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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