Individual
DR. CARLA DERSARKISSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
230 W JERSEY ST, SUITE 302, ELIZABETH, NJ 07202-1364
(908) 282-6998
(908) 282-0306
Mailing address
230 W JERSEY ST, SUITE 302, ELIZABETH, NJ 07202-1364
(908) 282-6998
(908) 282-0306
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
#22DI 02188100
NJ
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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