Individual
JESSICA MARQUES PEREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
205 RIDGEDALE AVE # 104, FLORHAM PARK, NJ 07932-1349
(973) 377-2222
Mailing address
205 RIDGEDALE AVE # 104, FLORHAM PARK, NJ 07932-1349
(973) 377-2222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02812000
NJ
1223G0001X
General Practice Dentistry
22DI02812000
NJ
Other
Enumeration date
09/08/2020
Last updated
09/29/2021
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