| Dr Herawati Tirtadjaja Kandou, DDS | |
|
35 Jefferson Avenue, Elizabeth, NJ 07201-2425 | |
| (908) 354-1188 | |
| (908) 352-7390 |
| Full Name | Dr Herawati Tirtadjaja Kandou |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 35 Jefferson Avenue, Elizabeth, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023246105 | NPI | - | NPPES |
| 3141209-01 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9708 (New Jersey) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3026 (New Jersey) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Herawati Tirtadjaja Kandou, DDS 35 Jefferson Avenue, Elizabeth, NJ 07201-2425 Ph: (908) 354-1188 | Dr Herawati Tirtadjaja Kandou, DDS 35 Jefferson Avenue, Elizabeth, NJ 07201-2425 Ph: (908) 354-1188 |
Dr. Svetlana Konstantinova, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 707 Elizabeth Ave, Elizabeth, NJ 07201 Phone: 908-354-1500 | |
Dr. Pardeep Kaur Sidhu, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 465 North Ave, Elizabeth, NJ 07208 Phone: 908-352-4438 Fax: 908-352-4525 | |
Aleksey Novakhov, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 611 Jefferson Ave, Elizabeth, NJ 07201 Phone: 908-353-5400 Fax: 908-353-7273 | |
Dr. Grigoriy Yusupov, DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 65 Jefferson Avenue, Elizabeth, NJ 07201 Phone: 908-527-8688 Fax: 908-527-9399 | |
Dr. Luis Rafael Rojas Martinez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 915 Elizabeth Ave, Elizabeth, NJ 07201 Phone: 908-325-9666 | |
Dr. Lisa M. Jacobson, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 230 W Jersey St, Medical Arts Building, Suite 209, C/o Dr. W. Silverman, Elizabeth, NJ 07202 Phone: 908-229-1345 Fax: 908-353-1888 |