Organization
DIYA DENTAL SERVICES LLC
Active
Other names
DIYA DENTAL SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANDAN VENKATESH REDDY SALUKOOTI DMD (REGISTERED AGENT)
(732) 809-6688
Entity
Organization
Contact information
Practice address
2177 OAK TREE RD STE 101, EDISON, NJ 08820-1082
(732) 809-6688
Mailing address
193 WESTGATE DR, EDISON, NJ 08820-1164
(732) 809-6688
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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