Organization
ESSEX ENDODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHARANI BODEPUDI (PRESIDENT)
(732) 762-3214
Entity
Organization
Contact information
Practice address
460 BLOOMFIELD AVE STE 311, MONTCLAIR, NJ 07042-3552
(973) 783-3535
Mailing address
460 BLOOMFIELD AVE STE 311, MONTCLAIR, NJ 07042-3552
(973) 783-3535
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
02/04/2018
Last updated
02/04/2018
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