Individual
VRINDA NANAVATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
76 BELLEVUE AVE, MONTCLAIR, NJ 07043-2430
(973) 744-3127
Mailing address
8125 RIVER RD APT 5C, NORTH BERGEN, NJ 07047-7202
(585) 200-6874
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI02893500
NJ
1223P0221X
Pediatric Dentistry
DN1858735
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/26/2018
Last updated
03/19/2025
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