Organization
LATHA VOLADRI D.D.S,L.LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LATHA VOLADRI D.D.S (DENTIST)
(973) 815-0515
Entity
Organization
Contact information
Practice address
641 MAIN AVE, PASSAIC, NJ 07055-4919
(973) 815-0515
(973) 916-0280
Mailing address
641 MAIN AVE, PASSAIC, NJ 07055-4919
(973) 815-0515
(973) 916-0280
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI02295900
NJ
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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