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Organization
YOUR FAMILY DENTAL GROUP PC
Active
Organization
YOUR FAMILY DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JYOTI R SHAH DDS (PRESIDENT)
(732) 246-8181
Entity
Organization
Contact information
Practice address
646 HERMANN RD, NO BRUNSWICK, NJ 08902-2833
(732) 246-8181
(732) 246-4244
Mailing address
1 HANCOCK DRIVE, KENDELL PARK, NJ 08824
(732) 246-8181
(732) 246-4244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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