Individual
CARMEN ROSA UCETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
5917 BERGENLINE AVE, WEST NEW YORK, NJ 07093-1306
(201) 861-2121
(201) 861-9820
Mailing address
316 LOCUST ST, TEANECK, NJ 07666-4004
(201) 357-2014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02046200
NJ
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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