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Organization
TROY MEADOWS DENTAL PC
Active
Organization
TROY MEADOWS DENTAL PC
Active
Other names
Troy Meadows Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADITYA PRASHAD GUPTA DDS (OWNER/PRESIDENT)
(973) 860-9724
Entity
Organization
Contact information
Practice address
488 N BEVERWYCK RD STE B, LAKE HIAWATHA, NJ 07034-2511
(973) 860-9724
(973) 860-9774
Mailing address
488 N BEVERWYCK RD STE B, LAKE HIAWATHA, NJ 07034-2511
(973) 860-9724
(973) 860-9773
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
04/02/2020
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