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Individual

DR. OMAR FRANCISCO MAYORGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
622 GEORGES RD STE 101, NORTH BRUNSWICK, NJ 08902-3377
(732) 249-1020
Mailing address
622 GEORGES RD STE 101, NORTH BRUNSWICK, NJ 08902-3377
(732) 249-1020
(732) 249-6078

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02765600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
NY

Other

Enumeration date
05/02/2019
Last updated
04/25/2025
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