Individual
MRS. MAYA PRABHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
76 LIVINGSTON AVE, NEW BRUNSWICK, NJ 08901-2520
(732) 246-2284
(732) 246-2373
Mailing address
19 BARNYARD CT, PLAINSBORO, NJ 08536-3137
(732) 246-2284
(732) 246-2373
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
043598-1
NY
1223E0200X
Endodontics
Primary
DI17888
NJ
Other
Enumeration date
09/25/2006
Last updated
07/19/2012
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