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Contact Information

LISA H ABIS VELASCO, DDS
47 ROMAR AVE
BASEMENT
JERSEY CITY, NJ07305-1834
 Phone: 201-985-8877
 Fax: 201-433-8289
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for LISA H ABIS VELASCO · (Female)

NPI Number 1306031224
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/13/2007
Last updated 09/13/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 22DI01832100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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