Individual
DR. SHRUTI JAYANT GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
906 OAK TREE AVE, SUITE M, SOUTH PLAINFIELD, NJ 07080-5127
(908) 769-5200
Mailing address
10 PETTI LN, EDISON, NJ 08820-1080
(908) 222-1433
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02371400
NJ
Other
Enumeration date
08/27/2008
Last updated
05/02/2012
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