Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 22D101852200 | NJ |
NPI | 1134332695 |
---|---|
Provider Name | Dr. Claudio Daniel Orellana |
First Address | Denville, NJ 07834-2907 |
Second Address | Denville, NJ 07834-2907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 08/07/2007 |