| Jorge E. Vallejo, D.m.d. & Kathleen Gilmore,d.m.d., L.l.p. | |
|
239 Elm St Newark NJ 07105-1720 | |
| (973) 491-0505 | |
| (973) 491-0630 |
| Full Name | Jorge E. Vallejo, D.m.d. & Kathleen Gilmore,d.m.d., L.l.p. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 239 Elm St, Newark, New Jersey |
| Authorized Official Name and Position | Kathleen Gilmore (DENTIST) |
| Authorized Official Contact | 9734910505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge E. Vallejo, D.m.d. & Kathleen Gilmore,d.m.d., L.l.p. 239 Elm St Newark NJ 07105-1720 Ph: (973) 491-0505 | Jorge E. Vallejo, D.m.d. & Kathleen Gilmore,d.m.d., L.l.p. 239 Elm St Newark NJ 07105-1720 Ph: (973) 491-0505 |
| NPI Number | 1134278781 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134278781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 18882 (New Jersey) | Primary |
| 1223G0001X | Dentist - General Practice | 18883 (New Jersey) | Secondary |
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