Individual
DR. MARIA ISABEL LUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
639 MOUNT PROSPECT AVE, NEWARK, NJ 07104-3109
(973) 481-3900
(973) 481-2999
Mailing address
664 CLIFTON AVE, NEWARK, NJ 07104-1502
(973) 868-1126
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI02420900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0214647
—
NJ
Enumeration date
10/06/2009
Last updated
10/09/2012
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