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Individual

KHUSHBOO VAGISHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1312 CENTENNIAL AVE STE 11, PISCATAWAY, NJ 08854-4324
(732) 981-1777
Mailing address
14 ALLEGHENY DR, BASKING RIDGE, NJ 07920-4203
(413) 362-2751

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02811500
NJ

Other

Enumeration date
07/30/2021
Last updated
07/30/2021
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