Individual
DR. LUIZA BAUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26 FORSHEE CIR, MONTVALE, NJ 07645-1781
(201) 282-1960
Mailing address
26 FORSHEE CIR, MONTVALE, NJ 07645-1781
(201) 282-1960
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
13289
CT
122300000X
Dentist
Primary
22DI02873400
NJ
Other
Enumeration date
11/18/2021
Last updated
12/03/2021
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