Individual
NISHA CHANDRAVADAN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
37 HWY 35, EATONTOWN, NJ 07724-3900
(732) 544-9101
Mailing address
30 RIVER CT, APT # 1909, JERSEY CITY, NJ 07310-2101
(714) 906-3675
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02446300
NJ
Other
Enumeration date
07/17/2010
Last updated
07/17/2010
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