Vidya Kini Kukkundur, DDS PC

NPI #1003582883 in Marlton, New Jersey

Provider Information

NPI Number: 1003582883
Entity Type: Organization
Organization Name: Vidya Kini Kukkundur, DDS PC
Subpart: Yes (part of a larger organization)
Parent Organization: VIDYA KINI KUKKUNDUR, DDS PC
Primary Specialty: Dentist
Enumeration Date: Aug 20, 2021
Last Updated: Aug 20, 2021

Practice Location

Address: 525 ROUTE 73 S STE 105
City: Marlton
State: New Jersey
ZIP Code: 08053-9643
Phone: (856) 872-2622

Authorized Official

Name: DR. VIDYA KINI KUKKUNDUR, DDS
Title: CEO
Phone: (856) 872-2622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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