Organization
NJ DENTAL SPECIALTIES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YATIN KHANNA DDS FICD (OWNER)
(718) 915-3713
Entity
Organization
Contact information
Practice address
2425 PENNINGTON RD, PENNINGTON, NJ 08534-5228
(718) 915-3713
(866) 894-5881
Mailing address
2425 PENNINGTON RD, PENNINGTON, NJ 08534-5228
(718) 915-3713
(866) 894-5881
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
5784
NJ
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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