Individual
SUSHMITHA MANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74 HARDING AVE, ISELIN, NJ 08830-1641
(732) 799-8929
Mailing address
74 HARDING AVE, ISELIN, NJ 08830-1641
(732) 799-8929
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI03150300
NJ
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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