Provider Demographics
NPI:1295000180
Name:DR. SAIMA MIAN LLC
Entity Type:Organization
Organization Name:DR. SAIMA MIAN LLC
Other - Org Name:GENTLE FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:201-866-3299
Mailing Address - Street 1:402 36TH ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-4712
Mailing Address - Country:US
Mailing Address - Phone:201-866-3299
Mailing Address - Fax:201-866-3396
Practice Address - Street 1:402 36TH ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-4712
Practice Address - Country:US
Practice Address - Phone:201-866-3299
Practice Address - Fax:201-866-3396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-12
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ21485122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty