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1235348426
GARY R MAITA
BAYONNE, NJ
NPI
1235348426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NJ 14066)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
Dr. GARY R MAITA D.M.D.
919 BROADWAY
BAYONNE, NJ 07002-3051
Phone number: 201-858-8584
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Mailing Address
Dr. GARY R MAITA D.M.D.
919 BROADWAY P.O. BOX 974
BAYONNE, NJ 07002-3051
Phone number: 201-858-8584
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