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Individual

DR. JORGE YAMIL CARCAMO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
134 RIDGE RD, LYNDHURST, NJ 07071
(201) 933-1700
(201) 355-4611
Mailing address
134 RIDGE RD, LYNDHURST, NJ 07071
(201) 933-1700
(201) 355-4611

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01561600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09674784E
NJ
Enumeration date
03/09/2007
Last updated
03/09/2020
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