# AMERICAN FAMILY DENTISTRY PC

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

## Provider details

- **NPI number:** 1730626532
- **Authorized official:** DR. KUMA KALARIA (DENTIST / OWNER)
- **Authorized official phone:** (732) 444-4932

## Contact information

- **Practice address:** 3562 STATE ROUTE 27, SUITE 115, KENDALL PARK, NJ 08824-1062
- **Practice address phone:** (732) 444-4932
- **Mailing address:** 3562 STATE ROUTE 27, SUITE 115, KENDALL PARK, NJ 08824-1062
- **Mailing address phone:** (732) 444-4932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI02406100 | NJ | Yes |
| 122300000X | Dentist | 22DI02579600 | NJ | — |

## Other

- **Enumeration date:** 01/31/2017
- **Last updated:** 01/31/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1124424593 | HEALTH CARE PROVIDER | NJ |
| 01 | — | 1750616389 | HEALTH CARE PROVIDER | NJ |