Individual
AVANI SHRIDHARANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3010 ROUTE 27, SUITE #10, KENDALL PARK, NJ 08824-0882
(732) 844-9999
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-5593
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02666000
NJ
Other
Enumeration date
05/24/2016
Last updated
04/18/2019
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