Organization
JORGE E. VALLEJO, D.M.D. & KATHLEEN GILMORE,D.M.D., L.L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN GILMORE D.M.D. (DENTIST)
(973) 491-0505
Entity
Organization
Contact information
Practice address
239 ELM ST, NEWARK, NJ 07105-1720
(973) 491-0505
(973) 491-0630
Mailing address
239 ELM ST, NEWARK, NJ 07105-1720
(973) 491-0505
(973) 491-0630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18882
NJ
1223G0001X
General Practice Dentistry
18883
NJ
Other
Enumeration date
01/10/2007
Last updated
08/22/2020
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