Individual
NIKHIL MEHANDRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
110 BERGEN ST, NEWARK, NJ 07103-2495
(516) 495-0093
Mailing address
300 SOMERSET ST APT 346, HARRISON, NJ 07029-2346
(516) 495-0093
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02907401
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2022
Last updated
08/06/2024
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