Individual
MRS. NELFA CESPEDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
293 MAIN AVE, PASSAIC, NJ 07055-5629
(973) 471-0099
(973) 614-1751
Mailing address
293 MAIN AVE, PASSAIC, NJ 07055-5629
(973) 471-0099
(973) 614-1751
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
21088
NJ
1223G0001X
General Practice Dentistry
Primary
3210
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000114900
AMERICHOICE
NJ
01
—
1646673
UNITED CONCORDIA
NJ
05
—
474490479
—
RI
05
—
8903808
—
NJ
Enumeration date
11/07/2005
Last updated
07/25/2024
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