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Dr. Mayra Modesto-garrido, DDS
General Practice Dentistry in Glen Rock, New Jersey
NPI 1568524528

Mayra Modesto-garrido is a General Practice Dentistry based in Glen Rock, NJ and is specialized in General Practice. Mayra Modesto-garrido practices in Glen Rock, NJ and has the professional credentials of DDS. The NPI Number for Mayra Modesto-garrido is 1568524528 and holds a License No. 22DI01825501 (New Jersey).

The current practice location address for Mayra Modesto-garrido is 266 Harristown Rd, Glen Rock, NJ and can be reached out via phone at 201-652-0400 and via fax at 201-447-5762.

Location: 266 Harristown Rd, Glen Rock, NJ, 07452-3302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568524528
Provider Name
Mayra Modesto-garrido
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
266 Harristown Rd, Glen Rock, NJ, 07452-3302
Phone Number
201-652-0400
Fax Number
201-447-5762
Provider Enumeration Date
12/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0066028 05 NJ
6037704 05 NJ
898217 01 NJ UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
266 Harristown Rd
City
Glen Rock
State
New Jersey
Zip
07452-3302
Phone Number
201-652-0400
Fax Number
201-447-5762
person
Provider Business Mailing Address Details
Address
266 Harristown Rd
City
Glen Rock
State
New Jersey
Zip
07452-3302
Phone Number
201-652-0400
Fax Number
201-447-5762
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
22DI01825501 (New Jersey)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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