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Individual

LISBETH JIMENEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
832 SALEM RD, UNION, NJ 07083-7571
(908) 327-7101
Mailing address
832 SALEM RD, UNION, NJ 07083-7571
(908) 327-7101

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
22HI01108400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22HI01108400
NJ BOARD OF DENTISTRY
NJ
Enumeration date
04/17/2020
Last updated
04/17/2020
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