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Organization
DIYA DENTAL SERVICES LLC
Active
Organization
DIYA DENTAL SERVICES LLC
Active
Other names
DIYA DENTAL SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANDAN VENKATESH REDDY SALUKOOTI DMD (REGISTERED AGENT)
(732) 809-6688
Entity
Organization
Contact information
Practice address
2177 OAK TREE RD STE 101, EDISON, NJ 08820-1082
(732) 809-6688
Mailing address
193 WESTGATE DR, EDISON, NJ 08820-1164
(732) 809-6688
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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