Individual
NADARAJAH GANESHKUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
750 CENTRAL AVE STE K, DOVER, NH 03820-3434
(781) 296-0503
Mailing address
10 WALTERS WAY, EXETER, NH 03833-4590
(781) 296-0503
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
03411
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588634216
—
DE
05
—
30306568
—
NH
Enumeration date
01/25/2006
Last updated
01/25/2018
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