Individual
KHUSHALI RAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2140 VOORHEES TOWN CTR, VOORHEES, NJ 08043-1911
(856) 770-1770
Mailing address
96 LARK DR, SOUTH RIVER, NJ 08882-2608
(732) 910-3882
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI02885200
NJ
1223P0221X
Pediatric Dentistry
DS042624
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2018
Last updated
06/06/2024
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