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Individual

DR. PRADEEP SUKUMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1740 N OLDEN AVE, EWING, NJ 08638-3110
(609) 844-1222
(609) 844-1227
Mailing address
1 RIVER CT, 1112, JERSEY CITY, NJ 07310-2001
(201) 725-7502

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02365100
NJ

Other

Enumeration date
01/30/2008
Last updated
01/15/2009
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