NPI 1003020512

Basiliso Paterno Tiu, DMD

Practitioner Dentist Edgewater, NJ

Practice location

Address: 725 River Rd Suite 104 Edgewater Plaza, Edgewater, NJ 07020
Phone: (201) 943-6644

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 22DI01911700 (NJ)

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Registry record

NPI: 1003020512
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.