| 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 |