NPI | 1003582883 |
---|---|
Doing Business As | SOUTH JERSEY CENTER FOR DENTAL MEDICINE |
Entity Type | Organization |
Authorized Contact | VIDYA KINI KUKKUNDUR CEO 856-872-2622 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2021-08-20 |
Last Update Date | 2021-08-20 |