Provider Demographics
NPI:1053529974
Name:MILMAN, VALERY (DDS)
Entity type:Individual
Prefix:DR
First Name:VALERY
Middle Name:
Last Name:MILMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:282 GRAND ST
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-4318
Mailing Address - Country:US
Mailing Address - Phone:201-433-8600
Mailing Address - Fax:201-433-2698
Practice Address - Street 1:282 GRAND ST
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-4318
Practice Address - Country:US
Practice Address - Phone:201-433-8600
Practice Address - Fax:201-433-2698
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ188521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice