Organization
N N GANDHI DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NARESHKUMAR N GANDHI D.D.S (OWNER)
(201) 866-0993
Entity
Organization
Contact information
Practice address
5005 BERGENLINE AVE, WEST NEW YORK, NJ 07093-5563
(201) 866-0993
(201) 866-7707
Mailing address
5005 BERGENLINE AVE, WEST NEW YORK, NJ 07093-5563
(201) 866-0993
(201) 866-7707
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI017832
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4593600
—
NJ
Enumeration date
02/25/2011
Last updated
02/25/2011
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