| Innova Dental Solutions | |
|
155 S New Prospect Rd Jackson NJ 08527-1734 | |
| (732) 364-1700 | |
| (732) 364-0870 |
| Full Name | Innova Dental Solutions |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 155 S New Prospect Rd, Jackson, New Jersey |
| Authorized Official Name and Position | Madhavi Kunduru (OFFICE MANAGER) |
| Authorized Official Contact | 7323641700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innova Dental Solutions 155 S New Prospect Rd Jackson NJ 08527-1734 Ph: (732) 364-1700 | Innova Dental Solutions 155 S New Prospect Rd Jackson NJ 08527-1734 Ph: (732) 364-1700 |
| NPI Number | 1669912952 |
|---|---|
| Provider Enumeration Date | 03/06/2017 |
| Last Update Date | 03/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669912952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI02567701 (New Jersey) | Primary |
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