Individual
CARA LYNN MINICHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
370 GRAND AVE STE 200, ENGLEWOOD, NJ 07631-4109
(201) 871-3555
Mailing address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7413
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02862300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2021
Last updated
09/27/2023
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