Individual
XICHEL BARRETO LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 GREGORY AVE STE 303, PASSAIC, NJ 07055-4856
(197) 385-9053
Mailing address
113 SUNSET PL, PALISADES PARK, NJ 07650-1926
(786) 803-9392
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI03094000
NJ
Other
Enumeration date
05/30/2025
Last updated
08/21/2025
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