Individual
WILLAN FRANCISCO JUMBO CUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
157 DELANCY ST, NEWARK, NJ 07105-1923
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
13386
CT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02891100
NJ
Other
Enumeration date
03/06/2019
Last updated
10/17/2024
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