Individual
DR. AMBICA MALLIPEDDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
21 S HOPE CHAPEL RD, JACKSON, NJ 08527-5000
(732) 813-3730
Mailing address
21 S HOPE CHAPEL RD, JACKSON, NJ 08527-5000
(732) 813-3730
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI02955902
NJ
Other
Enumeration date
02/18/2021
Last updated
03/02/2023
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