Individual
KEKUL BHARUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2 SPLIT ROCK DR STE 10, CHERRY HILL, NJ 08003-1244
(856) 724-5220
Mailing address
2 SPLIT ROCK DR STE 10, CHERRY HILL, NJ 08003-1244
(856) 724-5220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02905200
NJ
1223G0001X
General Practice Dentistry
DS042390
PA
Other
Enumeration date
07/19/2019
Last updated
09/12/2024
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