Doctor Name: | DR. BRIAN NO |
NPI Number: | 1053579847 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.D.S. |
License Number: | 22DI02371800 |
Business Practice Address: | 6 Prospect St Midland Park, NJ - 074321606 |
Business Phone Number: | 2014455555 |
Business Fax Number: | |
Mailing Address: | 3450 Wayne Ave Apt 24f, BRONX |
State: | NY |
Postal Code: | 104672512 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/28/2008 |
NPI Last Update Date: | 05/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 22DI02371800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |