Individual
DR. SOWMYA ANANTHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
110 BERGEN ST, RECEPTION #12, NEWARK, NJ 07103-2495
(973) 972-3418
Mailing address
110 BERGEN ST, RECEPTION #12, NEWARK, NJ 07103-2495
(973) 972-3418
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DI24531
NJ
1223X2210X
Orofacial Pain Dentistry
Primary
DI24531
NJ
Other
Enumeration date
09/02/2010
Last updated
10/21/2019
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