Individual
JANISLEY GARCIA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6400 JEFFERSON ST APT 302, WEST NEW YORK, NJ 07093-5353
(786) 609-0433
Mailing address
6400 JEFFERSON ST APT 302, WEST NEW YORK, NJ 07093-5353
(786) 609-0433
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02810800
NJ
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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