# OTILIA MARTICORENA, DMD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093147266
- **Authorized official:** DR. OTILIA MARTICORENA DMD (PRESIDENT- DENTIST)
- **Authorized official phone:** (908) 355-8555

## Contact information

- **Practice address:** 768 NEWARK AVE, ELIZABETH, NJ 07208-3536
- **Practice address phone:** (908) 355-8555
- **Practice address fax:** (908) 355-8590
- **Mailing address:** 768 NEWARK AVE, ELIZABETH, NJ 07208-3536
- **Mailing address phone:** (908) 355-8555
- **Mailing address fax:** (908) 355-8590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI01915100 | NJ | Yes |

## Other

- **Enumeration date:** 07/30/2013
- **Last updated:** 07/30/2013