Individual
JORGE E VALLEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
239 ELM ST, NEWARK, NJ 07105-1720
(973) 491-0505
Mailing address
239 ELM ST, NEWARK, NJ 07105-1720
(973) 491-0505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18882
NJ
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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