Individual
SEBASTIAN MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
447 ROUTE 10 E STE 5, RANDOLPH, NJ 07869-2132
(973) 328-1555
Mailing address
447 ROUTE 10 E STE 5, RANDOLPH, NJ 07869-2132
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI02676600
NJ
Other
Enumeration date
04/28/2017
Last updated
08/02/2022
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