| Herawati T Kandou Dds Pa | |
|
35 Jefferson Avenue Elizabeth NJ 07201-2425 | |
| (908) 354-1188 | |
| (908) 352-7390 |
| Full Name | Herawati T Kandou Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 35 Jefferson Avenue, Elizabeth, New Jersey |
| Authorized Official Name and Position | Herawati T Kandou (PRESIDENT ORTHODONTIST) |
| Authorized Official Contact | 9083541188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Herawati T Kandou Dds Pa 35 Jefferson Avenue Elizabeth NJ 07201-2425 Ph: (908) 354-1188 | Herawati T Kandou Dds Pa 35 Jefferson Avenue Elizabeth NJ 07201-2425 Ph: (908) 354-1188 |
| NPI Number | 1871666586 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 05/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871666586 | NPI | - | NPPES |
| 314120901 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9708 (New Jersey) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3026 (New Jersey) | Secondary |
Family & Cosmetic Dentistry Of N. Broad, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 757 N Broad St, Elizabeth, NJ 07208 Phone: 908-352-7730 Fax: 908-353-8453 | |
Smile Usa For Reconstructive Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 469 Morris Ave, Ste. 300, Elizabeth, NJ 07208 Phone: 908-527-8880 Fax: 908-527-8587 | |
All American Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 West Winfield Scott Plz, Elizabeth, NJ 07201 Phone: 908-353-5400 Fax: 908-353-7273 | |
Lysandra Plotkin, D.m.d Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1151 E Jersey St, Elizabeth, NJ 07201 Phone: 908-351-2106 | |
Banker Dental Associates, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Elmora Ave, Elizabeth, NJ 07202 Phone: 908-354-1490 Fax: 908-354-6996 | |
B & K Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 Elizabeth Ave, Elizabeth, NJ 07201 Phone: 908-354-1500 Fax: 908-354-1502 | |
Otilia Marticorena, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 768 Newark Ave, Elizabeth, NJ 07208 Phone: 908-355-8555 Fax: 908-355-8590 |