Organization
VIDYA KINI KUKKUNDUR, DDS PC
Active
Parent organization
VIDYA KINI KUKKUNDUR, DDS PC
Other names
South Jersey Center for Dental Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIDYA KINI KUKKUNDUR, DDS PC
Authorized official
DR. VIDYA KINI KUKKUNDUR DDS (CEO)
(856) 872-2622
Entity
Organization
Contact information
Practice address
525 ROUTE 73 S STE 105, MARLTON, NJ 08053-9643
(856) 872-2622
(856) 596-1726
Mailing address
2 PENDLETON CT, MEDFORD, NJ 08055-8503
(609) 903-0135
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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