Individual
DR. POONAM YADAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3, KELLY DRIVERS LN, LAUREL SPRINGS, NJ 08021
(856) 258-7064
Mailing address
3 KELLY DRIVER RD, CLEMENTON, NJ 08021-4823
(347) 957-9352
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS041397
PA
1223G0001X
General Practice Dentistry
Primary
22DI02708800
NJ
Other
Enumeration date
08/11/2017
Last updated
07/16/2018
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