Dadurian, Medina Diana

Dadurian, Medina Diana is an individual health care provider with primary practice located at 2 Sears Drive Suite 102, Paramus NJ 07652. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Dadurian, Medina Diana can be contacted via phone (201) 791-4113.

Contact Information

Primary practice address
2 Sears Drive Suite 102 Paramus NJ 07652
Phone: (201) 791-4113
Fax: (201) 791-2512
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DI017957 New Jersey
Dental Providers / Pediatric Dentistry 1223P0221X 4081 New Jersey

Profile Details

NPI number 1548351588
LBN Legal business name Dadurian, Medina Diana
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Apr 9th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548351588 NPPES
New Jersey Other 7989 DELTA DENTAL

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