Individual
DR. LYSANDRA JACLYN PLOTKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1151 E JERSEY ST, ELIZABETH, NJ 07201
(908) 351-2106
Mailing address
1151 E JERSEY ST, ELIZABETH, NJ 07201-2310
(908) 351-2106
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02721800
NJ
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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