# INNOVATIVE DENTISTRY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528254851
- **Authorized official:** DR. RAJDEEP SINGH RANDHAWA D.D.S. (DENTIST)
- **Authorized official phone:** (732) 882-1700

## Contact information

- **Practice address:** 546 SAINT GEORGES AVE, RAHWAY, NJ 07065-2542
- **Practice address phone:** (732) 882-1700
- **Practice address fax:** (732) 882-1799
- **Mailing address:** 546 SAINT GEORGES AVE, RAHWAY, NJ 07065-2542
- **Mailing address phone:** (732) 882-1700
- **Mailing address fax:** (732) 882-1799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI02201400 | NJ | Yes |

## Other

- **Enumeration date:** 09/20/2007
- **Last updated:** 09/20/2007