# SUDHAKER RAO BALMURI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003824913
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 17979 | NJ | Yes |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 06/04/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1194996645 | 444 WILLIAMS ST | NJ |
| 01 | — | 1740345693 | 741 BROADWAY | NJ |
| 01 | — | 1932370483 | 101 LUDLOW | NJ |
| 01 | — | 1972778413 | IRVINGTON | NJ |
| 05 | — | 6130801 | — | NJ |