DR. Brian T Denichilo, D.M.D.
NPI #1780787739 in Park Ridge, New Jersey
Provider Information
- NPI Number
- 1780787739
- Entity Type
- Individual
- Name
- DR. Brian T Denichilo, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Sep 6, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 136 KINDERKAMACK RD
- Address 2
- SUITE 1
- City
- Park Ridge
- State
- New Jersey
- ZIP Code
- 07656-1370
- Phone
- (201) 930-9370
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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