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Organization

SPECIALTY DENTAL INC

Active
Other names
HEALTHCHECK DENTAL CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEDAR N RUSTOGI DDS (OWNER)
(201) 863-0090
Entity
Organization

Contact information

Practice address
1115 INMAN AVE # 191, EDISON, NJ 08820-1132
(908) 222-8774
(908) 222-8770
Mailing address
4914 KENNEDY BLVD W, SUITE 201, WEST NEW YORK, NJ 07093-5590
(201) 863-0090
(201) 863-9008

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI00955000
NJ

Other

Enumeration date
01/26/2012
Last updated
01/26/2012
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