Individual
KRISHNA SURESHKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
390 AMWELL RD STE 408, HILLSBOROUGH, NJ 08844-1247
(908) 874-5006
Mailing address
5 LYDIA LN, EDISON, NJ 08817-2356
(732) 710-5513
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02925500
NJ
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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