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Individual

GERARDO MUNGUIA RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD, BD, MSD, CAGS

Contact information

Practice address
110 BERGEN ST, NEWARK, NJ 07103-2495
(073) 972-4242
Mailing address
114 MADISON ST # 101, NEWARK, NJ 07105-2108
(551) 208-3497

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
07400
NJ

Other

Enumeration date
06/23/2019
Last updated
01/30/2025
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