Provider Demographics
NPI:1881587673
Name:CORDERO ARENCIBIA, LAURA CECILIA (DMD)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:CECILIA
Last Name:CORDERO ARENCIBIA
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 1:20 BORIG PL
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:NJ
Mailing Address - Zip Code:07644-1402
Mailing Address - Country:US
Mailing Address - Phone:201-238-6835
Mailing Address - Fax:
Practice Address - Street 1:524 42ND ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-3288
Practice Address - Country:US
Practice Address - Phone:201-863-9090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI03093900122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist