Individual
DR. LARA DALESSIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
521 VAN HOUTEN AVE, CLIFTON, NJ 07013-2190
(973) 949-4523
(973) 949-4523
Mailing address
112 TUXEDO AVE, HAWTHORNE, NJ 07506-2644
(973) 777-0848
(973) 777-0898
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22D102381700
NJ
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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