Provider Demographics
NPI:1063664704
Name:DZIARMAGA, MAREK K (DDS)
Entity Type:Individual
Prefix:DR
First Name:MAREK
Middle Name:K
Last Name:DZIARMAGA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 PLAUDERVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07026-2252
Mailing Address - Country:US
Mailing Address - Phone:973-253-0600
Mailing Address - Fax:973-253-2530
Practice Address - Street 1:54 PLAUDERVILLE AVE
Practice Address - Street 2:
Practice Address - City:GARFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07026-2252
Practice Address - Country:US
Practice Address - Phone:973-253-0600
Practice Address - Fax:973-253-2530
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-14
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI020495122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist