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1184832164
BALAJI SRINIVASAN
LAKEWOOD, NJ
NPI
1184832164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NJ di19411)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
Dr. BALAJI SRINIVASAN DDS
1700 MADISON AVE
LAKEWOOD, NJ 08701-1253
Phone number: 732-363-5370
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Mailing Address
Dr. BALAJI SRINIVASAN DDS
26 BRENTWOOD DR
BAYVILLE, NJ 08721-2159
Phone number: 732-606-9194
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