Individual
DR. FERNANDA CARLA MENDOZA CERVANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
66 SOMME ST, NEWARK, NJ 07105-3612
(973) 578-8788
Mailing address
4545 CENTER BLVD APT 3218, LONG ISLAND CITY, NY 11109-5968
(915) 706-3503
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
064371
NY
1223P0221X
Pediatric Dentistry
Primary
22D102985300
NJ
Other
Enumeration date
06/21/2022
Last updated
03/22/2025
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