Individual
KIMBERLY MENJIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
509 ORANGE ST, NEWARK, NJ 07107-2128
(973) 481-5000
Mailing address
32 SPRUCE ST, KEARNY, NJ 07032-3531
(201) 496-4246
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
22HI01177400
NJ
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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