Organization
AMERICAN FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KUMA KALARIA (DENTIST / OWNER)
(732) 444-4932
Entity
Organization
Contact information
Practice address
3562 STATE ROUTE 27, SUITE 115, KENDALL PARK, NJ 08824-1062
(732) 444-4932
Mailing address
3562 STATE ROUTE 27, SUITE 115, KENDALL PARK, NJ 08824-1062
(732) 444-4932
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02406100
NJ
122300000X
Dentist
22DI02579600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124424593
HEALTH CARE PROVIDER
NJ
01
—
1750616389
HEALTH CARE PROVIDER
NJ
Enumeration date
01/31/2017
Last updated
01/31/2017
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