Provider Demographics
NPI:1821391467
Name:ERIAN, DINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:DINA
Middle Name:
Last Name:ERIAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 MACOPIN RD
Mailing Address - Street 2:
Mailing Address - City:WEST MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07480-2608
Mailing Address - Country:US
Mailing Address - Phone:973-697-4796
Mailing Address - Fax:973-697-4879
Practice Address - Street 1:755 MACOPIN RD
Practice Address - Street 2:
Practice Address - City:WEST MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07480-2608
Practice Address - Country:US
Practice Address - Phone:973-697-4796
Practice Address - Fax:973-697-4879
Is Sole Proprietor?:No
Enumeration Date:2010-12-20
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI024631001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice