Individual
MRS. DISLAIDY GARCIA ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
404 FARNHAM AVE, LODI, NJ 07644-1205
(512) 294-1132
Mailing address
404 FARNHAM AVE, LODI, NJ 07644-1205
(512) 294-1132
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22D103054900
NJ
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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