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Individual

DR. ANJANA GOWDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
145 BRIGHTON AVE, LONG BRANCH, NJ 07740-5338
(732) 229-3698
Mailing address
8 CARDINAL DR, PLAINSBORO, NJ 08536-2061
(862) 251-1976

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02279400
NJ
1223G0001X
General Practice Dentistry
DS036359
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0423254
NJ
05
101210506
PA
Enumeration date
11/27/2006
Last updated
01/02/2019
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