Individual
DR. SYAMALA JASTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
181 WESTFIELD AVE, CLARK FAMILY DENTAL CARE, CLARK, NJ 07066-1565
(732) 388-7600
Mailing address
181 WESTFIELD AVE, CLARK FAMILY DENTAL CARE, CLARK, NJ 07066-1565
(732) 388-7600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI019006
NJ
Other
Enumeration date
10/09/2007
Last updated
01/25/2009
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