# SPECIALTY DENTAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HEALTHCHECK DENTAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932470630
- **Authorized official:** DR. KEDAR N RUSTOGI DDS (OWNER)
- **Authorized official phone:** (201) 863-0090

## Contact information

- **Practice address:** 1115 INMAN AVE \# 191, EDISON, NJ 08820-1132
- **Practice address phone:** (908) 222-8774
- **Practice address fax:** (908) 222-8770
- **Mailing address:** 4914 KENNEDY BLVD W, SUITE 201, WEST NEW YORK, NJ 07093-5590
- **Mailing address phone:** (201) 863-0090
- **Mailing address fax:** (201) 863-9008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI00955000 | NJ | Yes |

## Other

- **Enumeration date:** 01/26/2012
- **Last updated:** 01/26/2012