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Organization
WEST END DENTAL DDS PC
Active
Organization
WEST END DENTAL DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEETU BHANUSHALI DDS (OWNER)
(908) 659-7300
Entity
Organization
Contact information
Practice address
74-76 ELMORA AVE, ELIZABETH, NJ 07202
(908) 659-7300
Mailing address
235 MEADOWBROOK RD, ROBBINSVILLE, NJ 08691-2502
(908) 659-7300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0790486
—
NJ
Enumeration date
02/24/2023
Last updated
02/24/2023
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