# SULLIVAN DARJI DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sullivan Darji Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932893039
- **Authorized official:** RAJ DARJI DMD (DENTIST/OWNER)
- **Authorized official phone:** (609) 953-0077

## Contact information

- **Practice address:** 30 JACKSON RD STE B1, MEDFORD LAKES, NJ 08055-9280
- **Practice address phone:** (609) 953-0077
- **Mailing address:** 30 JACKSON RD STE B1, MEDFORD LAKES, NJ 08055-9280
- **Mailing address phone:** (609) 953-0077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2023
- **Last updated:** 06/05/2023