Individual
PRAJKTA KHADSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 ALLING ST # 25, NEWARK, NJ 07102-5376
(917) 415-2729
Mailing address
9 ALLING ST # 25, NEWARK, NJ 07102-5376
(917) 415-2729
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI03054400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2023
Last updated
08/04/2024
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