Individual
LILIBET M MESA DORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
19 VAN RENSSELEAR ST APT 7, BELLEVILLE, NJ 07109-2963
(407) 255-5353
Mailing address
19 VAN RENSSELEAR ST APT 7, BELLEVILLE, NJ 07109-2963
(407) 255-5353
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26887
FL
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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