Individual
DR. JAGDESH DUDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
630 S BREWSTER RD BLDG D, VINELAND, NJ 08361-7801
(609) 805-6938
Mailing address
250 N COLUMBUS BLVD APT 611, PHILADELPHIA, PA 19106-1458
(310) 717-2113
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02669500
NJ
Other
Enumeration date
11/14/2017
Last updated
03/17/2018
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