Nada Samra Dmd LLC
Dentist, General Practice in East Brunswick, NJ. Organization (NPI-2).
NPI number1760131270
StatusActive
Last updated in NPPESJun 21, 2023
Details
- NPI
- 1760131270
- Entity type
- Organization (NPI-2)
- Legal business name
- Nada Samra Dmd LLC
- Organization subpart
- No
- Enumeration date
- Mar 22, 2022
- Certification date
- Jun 21, 2023
- Last updated
- Jun 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
275 State Route 18East Brunswick, NJ 08816-1927
Phone 315-454-6000
Mailing address
Po Box 70887Cleveland, OH 44190-0887
Authorized official
Nada Samra
Dmd
3154546000
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