Individual
DR. JAYASUDHA SAMUDRLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1440 HOW LN, SUITE 2C, NORTH BRUNSWICK, NJ 08902-4600
(732) 247-4200
Mailing address
1440 HOW LN, SUITE 2C, NORTH BRUNSWICK, NJ 08902-4600
(732) 247-4200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02361200
NJ
Other
Enumeration date
11/25/2008
Last updated
06/03/2013
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