Individual
AMRUTA GODBOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
459 CHESTNUT ST, UNION, NJ 07083-9313
(908) 686-5868
(908) 686-2331
Mailing address
102 C COLUMBUS DR, APT 302, JERSEY CITY, NJ 07302-5568
(646) 808-9083
(908) 686-2331
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D102449200
NJ
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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