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Organization
OTILIA MARTICORENA, DMD, PC
Active
Organization
OTILIA MARTICORENA, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OTILIA MARTICORENA DMD (PRESIDENT- DENTIST)
(908) 355-8555
Entity
Organization
Contact information
Practice address
768 NEWARK AVE, ELIZABETH, NJ 07208-3536
(908) 355-8555
(908) 355-8590
Mailing address
768 NEWARK AVE, ELIZABETH, NJ 07208-3536
(908) 355-8555
(908) 355-8590
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01915100
NJ
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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