Provider Demographics
NPI:1902474349
Name:GUERRA ECHEVARRIA, ARLEIDYS (DMD)
Entity Type:Individual
Prefix:DR
First Name:ARLEIDYS
Middle Name:
Last Name:GUERRA ECHEVARRIA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:ARLEIDYS
Other - Middle Name:
Other - Last Name:GUERRA ECHEVARRIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:187 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-3935
Mailing Address - Country:US
Mailing Address - Phone:786-740-9654
Mailing Address - Fax:
Practice Address - Street 1:1 VERMELLA WAY APT 4047
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-2618
Practice Address - Country:US
Practice Address - Phone:786-740-9654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-13
Last Update Date:2021-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02841800122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist