MAXIM SULLA

SOMERSET, NJ
NPI1720007776
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: NJ  DI21205)
Enumeration Date2006-07-19
Last Update Date2007-07-08
Business Address
-- MAXIM SULLA D.D.S.
1313 STATE ROUTE 27
SOMERSET, NJ 08873-3439
Phone number: 732-249-1010
Mailing Address
-- MAXIM SULLA D.D.S.
1313 STATE ROUTE 27
SOMERSET, NJ 08873-3439
Phone number: 732-249-1010
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