Provider Demographics
NPI:1972134120
Name:CURBELO, ANA ROCIO (DMD)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:ROCIO
Last Name:CURBELO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:775 N BROAD ST APT A403
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07208-2414
Mailing Address - Country:US
Mailing Address - Phone:561-727-5337
Mailing Address - Fax:
Practice Address - Street 1:250 BROADWAY
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07206-1857
Practice Address - Country:US
Practice Address - Phone:908-436-5565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-27
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02768400122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist