Individual
DR. NELSON GUANCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MDS
Contact information
Practice address
339 SOMERSET ST, NORTH PLAINFIELD, NJ 07060-4729
(786) 302-1856
Mailing address
134 BALDWIN AVE APT 709, JERSEY CITY, NJ 07306-2085
(786) 302-1856
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DI02720200
NJ
1223G0001X
General Practice Dentistry
DI02720200
NJ
Other
Enumeration date
07/26/2018
Last updated
10/11/2024
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