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Individual

MAYLIN MOSQUEDA JUNCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
210 AUGUSTA ST, SOUTH AMBOY, NJ 08879-1726
(732) 826-1530
Mailing address
9 ANTHONY CIR, CLARK, NJ 07066-1750
(954) 696-7476

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI27728
NJ
1223G0001X
General Practice Dentistry
DN24101
FL

Other

Enumeration date
08/19/2019
Last updated
08/19/2019
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