Individual
SUDHARANI BODEPUDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
354 LUNAR RD, PISCATAWAY, NJ 08854-5469
(732) 762-3214
Mailing address
354 LUNAR RD, PISCATAWAY, NJ 08854-5469
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
22DI02376500
NJ
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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