Individual
KANIKA SOPHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
989 N MAIN ST, WILLIAMSTOWN, NJ 08094-1011
(856) 629-7806
Mailing address
771 CLEMS RUN, GLASSBORO, NJ 08028-3510
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02972100
NJ
Other
Enumeration date
05/12/2023
Last updated
10/20/2024
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