Individual
DR. BEVERLY JAISWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
196 GROVE AVE, SUITE F, WEST DEPTFORD, NJ 08086-2139
(856) 345-9490
(856) 579-7863
Mailing address
196 GROVE AVE, SUITE F, WEST DEPTFORD, NJ 08086-2139
(856) 345-9490
(856) 579-7863
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02504700
NJ
122300000X
Dentist
DS043431
PA
Other
Enumeration date
08/03/2012
Last updated
12/09/2021
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