Innova Dental Solutions
Dentist, General Practice in Jackson, NJ. Organization (NPI-2).
NPI number1669912952
StatusActive
Last updated in NPPESMar 6, 2017
Details
- NPI
- 1669912952
- Entity type
- Organization (NPI-2)
- Legal business name
- Innova Dental Solutions
- Organization subpart
- No
- Enumeration date
- Mar 6, 2017
- Last updated
- Mar 6, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 22DI02567701 | NJ | Yes |
Practice location
155 S New Prospect RdJackson, NJ 08527-1734
Phone 732-364-1700 · Fax 732-364-0870
Mailing address
155 S New Prospect RdJackson, NJ 08527-1734
Phone 732-364-1700 · Fax 732-364-0870
Authorized official
Madhavi Kunduru
Office Manager
7323641700
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