Individual
MICHAEL ANGELO JIMENEZ MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
301 S LIVINGSTON AVE STE 102, LIVINGSTON, NJ 07039-3929
(973) 221-2131
Mailing address
132 BLAINE ST APT 1, PASSAIC, NJ 07055-1906
(973) 836-2713
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI03156300
NJ
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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