Individual
DR. ELAINE SUMIRE OTSUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1617 PARKER AVENUE, FORT LEE, NJ 07024
(201) 461-0130
(201) 461-8525
Mailing address
1617 PARKER AVENUE, FORT LEE, NJ 07024
(201) 461-0130
(201) 461-8525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01513200
NJ
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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