Wayne Allen Aldredge, DMD Valid NPI

Individual provider · Periodontics · Nutley, NJ

NPI

1982615647

Type

Individual (Type 1)

Primary specialty

Periodontics (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223P0300X

License number

D118768 (NJ)

Sex

Male

Sole proprietor

No

Enumerated

2006-08-10

Last updated

2007-07-08