Individual
JYOTI RANJAN KANSARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
200 W 2ND ST STE 109, PLAINFIELD, NJ 07060-1218
(908) 755-0303
Mailing address
1306 PLAZA DR, WOODBRIDGE, NJ 07095
(732) 397-6977
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02768600
NJ
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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