Individual
MS. AYANNA CELESTE BRADSHAW-SYDNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
72 N MUNN AVE, APARTMENT #1, EAST ORANGE, NJ 07017-4122
(404) 323-1569
Mailing address
275 HOBART ST, JEWISH RENAISSANCE MEDICAL CENTER-DENTAL DEPARTMENT, PERTH AMBOY, NJ 08861-3396
(973) 376-9333
(973) 293-0139
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22010248900
NJ
Other
Enumeration date
06/11/2009
Last updated
06/11/2012
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