Individual
JOHNIMEL LUSTERIO MERENE-BIANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
550 NEWARK AVE, SUITE 410, JERSEY CITY, NJ 07306-1326
(201) 706-3412
(201) 839-4557
Mailing address
550 NEWARK AVE, SUITE 410, JERSEY CITY, NJ 07306-1326
(201) 706-3412
(201) 839-4557
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
053320-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02898617
—
NY
Enumeration date
11/20/2007
Last updated
04/14/2014
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