Organization
BRIDGESMILESDENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMAN CHENNADI DMD (DENTIST)
(417) 693-2660
Entity
Organization
Contact information
Practice address
15 N BRIDGE ST, SOMERVILLE, NJ 08876-2110
(908) 725-0400
Mailing address
15 N BRIDGE ST, SOMERVILLE, NJ 08876-2110
(908) 725-0400
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI02614400
NJ
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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