Provider Demographics
NPI:1992406623
Name:OROPEZA ARAQUE, JUDITH ALEJANDRA (DMD, MSC)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:ALEJANDRA
Last Name:OROPEZA ARAQUE
Suffix:
Gender:F
Credentials:DMD, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ROBERTS RD
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-2849
Mailing Address - Country:US
Mailing Address - Phone:857-204-4398
Mailing Address - Fax:
Practice Address - Street 1:45 E NEWTON ST APT 402
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-4806
Practice Address - Country:US
Practice Address - Phone:857-204-4398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-10
Last Update Date:2023-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MADN18600121223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program