| Maria A Cuesta , Dmd, Pc | |
|
90 Washington St Suite 209 East Orange NJ 07017-1050 | |
| (973) 414-9015 | |
| (973) 414-9020 |
| Full Name | Maria A Cuesta , Dmd, Pc |
|---|---|
| Speciality | Dentist |
| Location | 90 Washington St, East Orange, New Jersey |
| Authorized Official Name and Position | Maria A Cuesta (OWNER) |
| Authorized Official Contact | 9734149015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria A Cuesta , Dmd, Pc 90 Washington St Suite 209 East Orange NJ 07017-1050 Ph: (973) 414-9015 | Maria A Cuesta , Dmd, Pc 90 Washington St Suite 209 East Orange NJ 07017-1050 Ph: (973) 414-9015 |
| NPI Number | 1407244056 |
|---|---|
| Provider Enumeration Date | 01/06/2015 |
| Last Update Date | 01/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407244056 | NPI | - | NPPES |
| 7577508 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DI15274 (New Jersey) | Primary |
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