# DR. LUZ M NIETO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1811169899
- **Gender:** F
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI01698900 | NJ | Yes |

## Other

- **Enumeration date:** 03/30/2008
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 22DI01698900 | BRANCH OFFICE LICENSE | NJ |
| 01 | — | DI016989 | DENTAL LICENSE | NJ |
| 01 | — | DO6209200 | CDS LICENSE | NJ |