Individual
DR. VAIDYA SELVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS,DDS, MAGD
Contact information
Practice address
28 THROCKMORTON LN STE 201, OLD BRIDGE, NJ 08857-2558
(732) 679-8300
(732) 334-1080
Mailing address
28 THROCKMORTON LN STE 201, OLD BRIDGE, NJ 08857-2558
(732) 679-8300
(732) 334-1080
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01853000
NJ
Other
Enumeration date
10/03/2006
Last updated
02/03/2020
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