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NPI 1609553098

NPI 1609553098 : GABRIELA INFANTINO DDS : MONTVALE, NJ

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General NPI Number Information
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    NPI Number           |    1609553098
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    Entity Type          |    Individual 
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    Provider Name        |    GABRIELA INFANTINO DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/28/2023
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    Last Update Date     |    11/13/2025
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Provider Practice Location Address
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    Address Line         |    70 CHESTNUT RIDGE RD 
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    City                 |    MONTVALE
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    State                |    NJ
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    Zip                  |    07645-1834
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    Country              |    US
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    Telephone            |    201-391-1444
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    70 CHESTNUT RIDGE RD 
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    City                 |    MONTVALE
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    State                |    NJ
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    Zip                  |    07645-1834
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    Country              |    US
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    Telephone            |    201-391-1400
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    22DI309400
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    License Number State |    NJ
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