Lara Dalessio, DMD Valid NPI
Individual provider · Dentist · Clifton, NJ
- NPI
- 1164688057
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 22D102381700 (NJ)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2008-07-31
- Last updated
- 2008-07-31
Practice location
521 Van Houten Ave
Clifton, NJ 07013-2190
(973) 949-4523