# MRUDULA PINGILI DDS ,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dental Cosmetic Concepts
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740482116
- **Authorized official:** DR. MRUDULA PINGILI D.D.S (OWNER)
- **Authorized official phone:** (908) 874-5006

## Contact information

- **Practice address:** 390 AMWELL RD, SUITE 408 , BUILDING 4, HILLSBOROUGH, NJ 08844-1225
- **Practice address phone:** (908) 874-5006
- **Practice address fax:** (908) 874-8272
- **Mailing address:** 390 AMWELL RD, SUITE 408 , BUILDING 4, HILLSBOROUGH, NJ 08844-1225
- **Mailing address phone:** (908) 874-5006
- **Mailing address fax:** (908) 874-8272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI02220500 | NJ | Yes |

## Other

- **Enumeration date:** 06/05/2007
- **Last updated:** 08/22/2020