| Otilia Marticorena, Dmd, Pc | |
|
768 Newark Ave Elizabeth NJ 07208-3536 | |
| (908) 355-8555 | |
| (908) 355-8590 |
| Full Name | Otilia Marticorena, Dmd, Pc |
|---|---|
| Speciality | Dentist |
| Location | 768 Newark Ave, Elizabeth, New Jersey |
| Authorized Official Name and Position | Otilia Marticorena (PRESIDENT- DENTIST) |
| Authorized Official Contact | 9083558555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Otilia Marticorena, Dmd, Pc 768 Newark Ave Elizabeth NJ 07208-3536 Ph: (908) 355-8555 | Otilia Marticorena, Dmd, Pc 768 Newark Ave Elizabeth NJ 07208-3536 Ph: (908) 355-8555 |
| NPI Number | 1093147266 |
|---|---|
| Provider Enumeration Date | 07/30/2013 |
| Last Update Date | 07/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093147266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI01915100 (New Jersey) | Primary |
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