Marigold Pediatric Dentistry and Orthodontics
NPI #1871114512 in Maplewood, New Jersey
Provider Information
- NPI Number
- 1871114512
- Entity Type
- Organization
- Organization Name
- Marigold Pediatric Dentistry and Orthodontics
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- May 5, 2020
- Last Updated
- Jan 11, 2024
Practice Location
- Address
- 1713 SPRINGFIELD AVE
- City
- Maplewood
- State
- New Jersey
- ZIP Code
- 07040-2914
- Phone
- (973) 821-7161
Authorized Official
- Name
- DR. ELENA CICIOLLA, DMD
- Title
- OWNER
- Phone
- (954) 691-7906
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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