Provider Demographics
NPI:1578757209
Name:MIELO, JOHN FRANCIS JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:FRANCIS
Last Name:MIELO
Suffix:JR
Gender:M
Credentials:DMD
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Mailing Address - Street 1:3 WERNER WAY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LEBANON
Mailing Address - State:NJ
Mailing Address - Zip Code:08833-2223
Mailing Address - Country:US
Mailing Address - Phone:908-437-6000
Mailing Address - Fax:908-437-6004
Practice Address - Street 1:3 WERNER WAY
Practice Address - Street 2:SUITE 202
Practice Address - City:LEBANON
Practice Address - State:NJ
Practice Address - Zip Code:08833-2223
Practice Address - Country:US
Practice Address - Phone:908-437-6000
Practice Address - Fax:908-437-6004
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2007-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJDI2114800122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist