Individual
DR. MEENAKSHI JETLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
405 NORTHFIELD AVE, SUITE #LL4, WEST ORANGE, NJ 07052-3023
(862) 245-2170
(973) 618-1558
Mailing address
405 NORTHFIELD AVE, SUITE #LL4, WEST ORANGE, NJ 07052-3026
(862) 245-2170
(973) 618-1558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DIO2422700
NJ
Other
Enumeration date
12/13/2009
Last updated
12/10/2010
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