Individual
DR. RADHA SAI MANCHIKANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
630 VALLEY BROOK AVE, UNIT 14, LYNDHURST, NJ 07071-2032
(201) 889-5246
Mailing address
630 VALLEY BROOK AVE, UNIT 14, LYNDHURST, NJ 07071-2032
(201) 889-5246
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02473500
NJ
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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