Individual
CARLOS MANUEL MARTIN PERDOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
730 HARRISON AVE APT 2A, HARRISON, NJ 07029-1909
(786) 203-3231
(786) 203-3231
Mailing address
730 HARRISON AVE APT 2A, HARRISON, NJ 07029-1909
(786) 203-3231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI03096800
NJ
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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