Organization
RENAISSANCE DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADHAVI KALUSKAR (PRESIDENT)
(732) 422-1400
Entity
Organization
Contact information
Practice address
1520 US HIGHWAY 130, SUITE 102, NORTH BRUNSWICK, NJ 08902-3148
(732) 422-1400
Mailing address
1520 US HIGHWAY 130 N, SUITE 102, NORTH BRUNSWICK, NJ 08902-3148
(732) 422-1400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI21215
NJ
Other
Enumeration date
01/10/2007
Last updated
08/22/2020
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