Individual
DR. NIVIDITA PURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS, AAS
Contact information
Practice address
639 MOUNT PROSPECT AVE, NEWARK, NJ 07104-3109
(973) 481-3900
Mailing address
639 MOUNT PROSPECT AVE, NEWARK, NJ 07104-3109
(973) 481-3900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02770900
NJ
Other
Enumeration date
11/12/2019
Last updated
07/01/2020
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