Herawati T Kandou Dds Pa | |
163 Washington Valley Rd Ste 106 Washington Valley Office Park Warren NJ 07059-7181 | |
(732) 560-5988 | |
(732) 563-6999 |
Full Name | Herawati T Kandou Dds Pa |
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Speciality | Dentist |
Location | 163 Washington Valley Rd Ste 106, Warren, New Jersey |
Authorized Official Name and Position | Herawati T Kandou (PRESIDENT ORTHODONTIST) |
Authorized Official Contact | 7325605988 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Herawati T Kandou Dds Pa 163 Washington Valley Rd Ste 106 Washington Valley Office Park Warren NJ 07059-7181 Ph: (732) 560-5988 | Herawati T Kandou Dds Pa 163 Washington Valley Rd Ste 106 Washington Valley Office Park Warren NJ 07059-7181 Ph: (732) 560-5988 |
NPI Number | 1245499847 |
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Provider Enumeration Date | 06/09/2008 |
Last Update Date | 06/09/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245499847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 9708 (New Jersey) | Primary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3026 (New Jersey) | Secondary |
Steven S. Forman D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Mountain Blvd Ext, Suite 204, Warren, NJ 07059 Phone: 732-356-1777 Fax: 732-302-3082 | |
Gpsdmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 266 King George Rd Ste A, Warren, NJ 07059 Phone: 732-763-6010 | |
Riverside Oral Surgery - Warren Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Mountain Blvd Ext Ste 106, Warren, NJ 07059 Phone: 732-356-1414 | |
Family Dental Associates Of Warren, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 163 Washington Valley Rd, Suite 106, Warren, NJ 07059 Phone: 732-560-5988 Fax: 732-563-6999 | |
Warren Oral Surgery Dental Clinic Medicare: Medicare Enrolled Practice Location: 58 Mount Bethel Rd, Suite 202, Warren, NJ 07059 Phone: 908-222-7922 Fax: 908-222-7923 | |
Brighter Dental Care (warren) Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 Mountain Blvd, Building 2, Suite 205, Warren, NJ 07059 Phone: 908-753-2700 Fax: 908-753-2705 |