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NPI Code Detail

MEDICARE: DR. LIZA DIMEDIO DMD

MEDICARE: DR. LIZA DIMEDIO DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDIO128600NJ

General Provider Information

NPI Number : 1215125281
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LIZA DIMEDIO DMD
Provider Business Mailing Address
First Line : 338 GEORGES RD
Second Line :
City : DAYTON
State : NJ
Zip : 08810-1546
Country : US
Telephone Number : 732-329-3113
Fax Number :
Provider Business Practice Location Address
First Line : 338 GEORGES RD
Second Line :
City : DAYTON
State : NJ
Zip : 08810-1546
Country : US
Telephone Number : 732-329-3113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2007
Last Update Date : 10/04/2007

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Directions to “ DR. LIZA DIMEDIO DMD” Practice Location

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