Individual
NIRMALA RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 CYPRESS LN, EAST BRUNSWICK, NJ 08816-5248
(732) 485-3735
Mailing address
208 CYPRESS LN, EAST BRUNSWICK, NJ 08816-5248
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS040165
PA
1223G0001X
General Practice Dentistry
Primary
22DI02577500
NJ
Other
Enumeration date
08/26/2014
Last updated
12/21/2015
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