Individual
DR. LUIS C. MENENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6515 KENNEDY BLVD E, SUITE GMGN, WEST NEW YORK, NJ 07093-4231
(201) 861-0835
(201) 861-3840
Mailing address
6515 KENNEDY BLVD E, SUITE GMGN, WEST NEW YORK, NJ 07093-4231
(201) 861-0835
(201) 861-3840
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI15005
NJ
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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