Fatima D Tavares DMD

NPI 1023215654 - Dentist - 1223G0001X

NPI Details
NPI 1023215654
Gender Female
Enumeration Date 06/28/2007
Last Updated 08/24/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
411-419 CHESTNUT ST
UNIT 1B
NEWARK NJ, 07105, US
Phone (973) 732-3484
Fax
Business Location
411-419 CHESTNUT ST
UNIT 1B
NEWARK NJ, 07105, US
Phone (973) 732-3484
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State New Jersey
License Number DIO2350000
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According to our database, Dr. Fatima D Tavares DMD NPI is 1023215654, taxonomy code is 1223G0001X and license number is DIO2350000, license state is located at New Jersey. Fatima D Tavares DMD physically located at 411-419 Chestnut St, Newark NJ, 07105. NPI Number Fatima D Tavares DMD has the Individual type.

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1023215654 NPI number is provided on an as is basis without warranty of any kind. 1023215654 is maintained by the National Plan & Provider Enumeration System. The contents of Fatima D Tavares DMD are for informational purposes only.