Provider Demographics
NPI:1033202411
Name:ESTRELLA, ANGELI JAMIL (DDS)
Entity Type:Individual
Prefix:
First Name:ANGELI
Middle Name:JAMIL
Last Name:ESTRELLA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 GRAPHIC BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07646-1412
Mailing Address - Country:US
Mailing Address - Phone:201-261-1900
Mailing Address - Fax:201-261-1943
Practice Address - Street 1:406 GRAPHIC BLVD
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07646-1412
Practice Address - Country:US
Practice Address - Phone:201-261-1900
Practice Address - Fax:201-261-1943
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI021905001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice