DR. John Ianzano, D.M.D., M.S.D.

NPI #1962583385 in Ridgewood, New Jersey

Provider Information

NPI Number: 1962583385
Entity Type: Individual
Name: DR. John Ianzano, D.M.D., M.S.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D., M.S.D.
Enumeration Date: Oct 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 545 ROUTE 17 SOUTH
Address 2: SUITE 2007
City: Ridgewood
State: New Jersey
ZIP Code: 07450
Phone: (201) 447-9700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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