Individual
EVA CERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
320 S MAIN ST, PHILLIPSBURG, NJ 08865-2859
(908) 454-9800
Mailing address
320 S MAIN ST, PHILLIPSBURG, NJ 08865-2859
(908) 454-9800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02596201
NJ
Other
Enumeration date
09/12/2014
Last updated
11/01/2016
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