| Vidya Kini Kukkundur, Dds Pc | |
|
525 Route 73 S Ste 105 Marlton NJ 08053-9643 | |
| (856) 872-2622 | |
| (856) 596-1726 |
| Full Name | Vidya Kini Kukkundur, Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 525 Route 73 S Ste 105, Marlton, New Jersey |
| Authorized Official Name and Position | Vidya Kini Kukkundur (CEO) |
| Authorized Official Contact | 8568722622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vidya Kini Kukkundur, Dds Pc 2 Pendleton Ct Medford NJ 08055-8503 Ph: (609) 903-0135 | Vidya Kini Kukkundur, Dds Pc 525 Route 73 S Ste 105 Marlton NJ 08053-9643 Ph: (856) 872-2622 |
| NPI Number | 1003582883 |
|---|---|
| Provider Enumeration Date | 08/20/2021 |
| Last Update Date | 08/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003582883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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