Individual
DR. NWANDO UDOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
505 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3653
(732) 826-8464
(732) 826-4022
Mailing address
505 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3653
(732) 826-8464
(732) 826-4022
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02360900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22DI02360900
BOARD OF DENTISTRY
NJ
Enumeration date
11/25/2008
Last updated
11/25/2008
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