Provider Demographics
NPI:1215083928
Name:JUNEJA, MONICA (DDS)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:JUNEJA
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 1:300 WINSTON DR
Mailing Address - Street 2:#1921
Mailing Address - City:CLIFFSIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010-3236
Mailing Address - Country:US
Mailing Address - Phone:201-724-7272
Mailing Address - Fax:
Practice Address - Street 1:300 N MIDDLETOWN RD
Practice Address - Street 2:207
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-1262
Practice Address - Country:US
Practice Address - Phone:845-623-1919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0493861223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics