Organization
DENTAL ILLUMINATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADHAVI VENKATA KADIYALA DDS (PRESIDENT AND OWNER DENTIST)
(609) 275-9688
Entity
Organization
Contact information
Practice address
660 PLAINSBORO ROAD, PRINCETON MEADOWS SHOPPING CENTER, PLAINSBORO, NJ 08536
(609) 275-9688
(609) 275-9673
Mailing address
660 PLAINSBORO ROAD, PRINCETON MEADOWS SHOPPING CENTER, PLAINSBORO, NJ 08536
(609) 275-9688
(609) 275-9673
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI20500
NJ
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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