Organization
PENNINGTON DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YATIN KHANNA DDS (MEMBER)
(718) 915-3713
Entity
Organization
Contact information
Practice address
2425 PENNINGTON RD, PENNINGTON, NJ 08534-5228
(718) 915-3713
(866) 894-5881
Mailing address
2425 PENNINGTON RD, PENNINGTON, NJ 08534-5228
(718) 915-3713
(866) 894-5881
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
21759
NJ
122300000X
Dentist
Primary
23707
NJ
1223P0700X
Prosthodontics
23509
NJ
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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