| |
5 Franklin Ave Suite 108 Belleville NJ 07109-3532 | |
(973) 751-6600 | |
(973) 751-6364 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 5 Franklin Ave, Belleville, New Jersey |
Authorized Official Name and Position | Elizabeth M. Llamera (DENTIST) |
Authorized Official Contact | 9737516600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5 Franklin Ave Suite 108 Belleville NJ 07109-3532 Ph: (973) 751-6600 | 5 Franklin Ave Suite 108 Belleville NJ 07109-3532 Ph: (973) 751-6600 |
NPI Number | 1376647842 |
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Provider Enumeration Date | 09/12/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376647842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DI019013 (New Jersey) | Secondary |
1223G0001X | Dentist - General Practice | DI019576 (New Jersey) | Primary |
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