Individual
DR. ANIL PURSHOTAM ARDESHNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
110 BERGEN STREET, UMDNJ-NEW JERSEY DENTAL SCHOOL- ROOM, NEWARK, NJ 07103-2495
(973) 972-4729
(973) 972-0526
Mailing address
110 BERGEN STREET, ROOM 712C, UMDNJ-NEW JERSEY DENTAL, NEWARK, NJ 07103
(973) 972-1892
(973) 972-0526
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DI01783700
NJ
Other
Enumeration date
12/16/2005
Last updated
11/18/2008
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