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Individual

MISS PRIYA MADHIWALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
45 ROUTE 46 EAST, RIDGEFIELD PARK, NJ 07660
(201) 440-2100
Mailing address
1350 SPRING STREET, 6TH FLOOR, ATLANTA, GA 30309-2870
(404) 289-1950
(678) 444-4152

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
009946
CT
1223P0221X
Pediatric Dentistry
052829
NY
1223P0221X
Pediatric Dentistry
Primary
22DI 02430400
NJ

Other

Enumeration date
09/17/2008
Last updated
12/19/2012
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