JERRY H STAHL DMD PC
Dentist at Saddle River Rd, Fair Lawn, NJ

License number
New Jersey 14077
Category
Dentist
Type
General Practice
Owner
Name: DR. JERRY H STAHL DMD
Title: PRESIDENT
Phone: (201) 797-8711
Address
Address
8-10 Saddle River Rd, Fair Lawn, NJ 07410
National Provider ID: 1346368743
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JERRY H. STAHL, D.M.D., PC

Fair Lawn, NJ

Registration:
Jan 10, 1995
State ID:
0100612208
Business type:
PA

JERRY H. STAHL, D.M.D., PC

Fair Lawn, NJ

Status:
Inactive
Inactive reason:
Surrender of Authority
Registration:
Jan 9, 2004
Inactive since:
Sep 30, 2008
Addresses:
13-36 Lyle Ter, Fair Lawn, NJ 07410 (Physical)
8-10 Saddle Riv Rd, Fair Lawn, NJ 07410 (Physical)
State ID:
2997802
Business type:
Foreign Professional Corporation
Jerry H Stahl Dmd, 5407 13 Ave, Brooklyn, NY 11219 (Physical)
Agent:
Registered Agent Revoked

Dentist licenses in New Jersey