# PROSTHODONTIC ASSOCIATES OF NEW JERSEY PROFESSIONAL ASSOCIATION

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

## Provider details

- **NPI number:** 1659710473
- **Authorized official:** DR. YATIN KHANNA DDS (CEO)
- **Authorized official phone:** (718) 915-3713

## Contact information

- **Practice address:** 98 JAMES ST, SUITE 303, EDISON, NJ 08820-3902
- **Practice address phone:** (732) 494-7767
- **Practice address fax:** (866) 894-5881
- **Mailing address:** 1 RIVER CT, APARTMENT 2206, JERSEY CITY, NJ 07310-2001
- **Mailing address phone:** (718) 915-3713
- **Mailing address fax:** (866) 894-5881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 22DI02350900 | NJ | Yes |

## Other

- **Enumeration date:** 06/14/2013
- **Last updated:** 06/18/2013