Individual
MARIA A CUESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
90 WASHINGTON ST, SUITE 209, EAST ORANGE, NJ 07017
(973) 414-9015
(973) 414-9020
Mailing address
90 WASHINGTON ST, SUITE 209, EAST ORANGE, NJ 07017
(973) 414-9015
(973) 414-9020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15274
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7577508
—
NJ
Enumeration date
11/15/2006
Last updated
07/08/2007
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