Individual
RAJVIR JUTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3 KELLY DRIVER RD, LAUREL SPRINGS, NJ 08021-4823
(856) 784-5100
Mailing address
3 KELLY DRIVER RD, LAUREL SPRINGS, NJ 08021-4823
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02612900
NJ
Other
Enumeration date
06/25/2014
Last updated
04/19/2016
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