Individual
DR. GUILLERMO J MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1200 E RIDGEWOOD AVE, EAST WING, FIRST FLOOR, RIDGEWOOD, NJ 07450-3957
(201) 670-7774
Mailing address
1200 E RIDGEWOOD AVE, EAST WING, FIRST FLOOR, RIDGEWOOD, NJ 07450-3957
(201) 670-7774
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
22DI01892300
NJ
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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