Individual
LILIVETTE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
134 EVERGREEN PL STE 101, EAST ORANGE, NJ 07018-2015
(973) 968-6700
Mailing address
73 PROSPECT RD, PARSIPPANY, NJ 07054-2510
(973) 906-2728
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02870100
NJ
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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