Individual
DR. SANDANA JAYA RAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3035 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07306-3669
(201) 333-7575
Mailing address
3035 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07306-3669
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
010576
CT
1223G0001X
General Practice Dentistry
055861-1
NY
1223G0001X
General Practice Dentistry
Primary
DI02479200
NJ
Other
Enumeration date
06/05/2010
Last updated
10/24/2011
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