Individual
DR. ELIZABETH NANCY ODINEZ BORTFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2 MOUNTAIN VIEW AVE, LONG VALLEY, NJ 07853
(908) 876-3458
Mailing address
1 MAYFAIR LANE, ANDOVER, NJ 07821
(973) 691-3217
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02747600
NJ
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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