Individual
DR. TRACEY SHRESTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
131 S MAIN ST, FORKED RIVER, NJ 08731-3635
(609) 693-6066
Mailing address
2 ROGERS RD, OLD BRIDGE, NJ 08857-1626
(732) 757-8908
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI24231
NJ
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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