Individual
CARINA ROSE FAIRFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 E BROAD ST, WESTFIELD, NJ 07090-5114
(908) 233-8070
Mailing address
19 RIPPLEWOOD DR, RANDOLPH, NJ 07869-3818
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02821100
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2020
Last updated
07/06/2021
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