Individual
ESMIRNA MORILLO LAJARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
176 MAIN ST, RIDGEFIELD PARK, NJ 07660-1648
(201) 283-6811
Mailing address
288 W 238TH ST APT 7J, BRONX, NY 10463-2361
(929) 366-5102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI03050400
NJ
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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