| Peb Dental Dds/pa | |
|
155 Stelton Rd Piscataway NJ 08854-3251 | |
| (732) 752-1932 | |
| (732) 752-1268 |
| Full Name | Peb Dental Dds/pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 155 Stelton Rd, Piscataway, New Jersey |
| Authorized Official Name and Position | Vijaya Radhakrishna (PEDIATRICIAN) |
| Authorized Official Contact | 7327521932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peb Dental Dds/pa 155 Stelton Rd Piscataway NJ 08854-3251 Ph: (732) 752-1932 | Peb Dental Dds/pa 155 Stelton Rd Piscataway NJ 08854-3251 Ph: (732) 752-1932 |
| NPI Number | 1437547890 |
|---|---|
| Provider Enumeration Date | 01/07/2015 |
| Last Update Date | 01/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437547890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0101028295 (New Jersey) | Primary |
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