Individual
EDEN BALUYOTE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD LLC
Contact information
Practice address
508 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052
(973) 731-0087
(973) 731-0024
Mailing address
508 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052
(973) 731-0087
(973) 731-0024
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI17900
NJ
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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