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PRISCILA PENA DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
5301 BROADWAY, WEST NEW YORK, NJ 07093-2622
(201) 866-9320
Mailing address
49 FISK ST APT P27, JERSEY CITY, NJ 07305-0017
(786) 532-0468

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI03076200
NJ

Other

Enumeration date
04/22/2024
Last updated
12/23/2025
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