Individual
DIVYA JHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
235 CLOSTER DOCK RD, CLOSTER, NJ 07624-1907
(201) 768-6101
Mailing address
61 W 62ND ST, APT 6G, NEW YORK, NY 10023-7015
(917) 570-9995
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
22DI02332100
NJ
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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