Individual
DR. VANESSA QUREISHI VELILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
195 S MAPLE AVE, PEDIATRIC DENTAL ASSOCIATES, RIDGEWOOD, NJ 07450-5142
(201) 652-7020
(201) 652-1550
Mailing address
121 W 92ND ST, APT. GF, NEW YORK, NY 10025-7576
(212) 666-1296
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI02206500
NJ
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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