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Individual

DR. CARLOS FABRIZZIO ZALDIVAR TEJADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
4 WALTER E FORAN BLVD STE 204, FLEMINGTON, NJ 08822-4666
(908) 788-1661
(908) 284-0797
Mailing address
4 WALTER E FORAN BLVD STE 204, FLEMINGTON, NJ 08822-4666
(908) 788-1661
(908) 284-0797

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02855000
NJ
1223G0001X
General Practice Dentistry
61898
KS

Other

Enumeration date
06/23/2021
Last updated
04/05/2023
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