Individual
SUMANA MUDDANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
222 SOUTH STREET, FREEHOLD, NJ 07728
(732) 462-0050
(732) 308-0757
Mailing address
222 SOUTH STREET, FREEHOLD, NJ 07728
(732) 462-0050
(732) 308-0757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21761
NJ
Other
Enumeration date
11/14/2006
Last updated
12/01/2010
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