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Organization
UNITED DENTAL GROUP, P.C.
Active
Organization
UNITED DENTAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJIV K MANOCHA D.D.S. (PRESIDENT)
(732) 636-0838
Entity
Organization
Contact information
Practice address
876 GREEN ST, ISELIN, NJ 08830-2102
(732) 636-0838
(732) 636-1155
Mailing address
876 GREEN ST, ISELIN, NJ 08830-2102
(732) 636-0838
(732) 636-1155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D17858
NJ
1223G0001X
General Practice Dentistry
Primary
D17919
NJ
1223G0001X
General Practice Dentistry
D18254
NJ
Other
Enumeration date
01/27/2007
Last updated
08/22/2020
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