DR. Herawati Tirtadjaja Kandou, DDS
NPI #1023246105 in Elizabeth, New Jersey
Provider Information
- NPI Number
- 1023246105
- Entity Type
- Individual
- Name
- DR. Herawati Tirtadjaja Kandou, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Jun 26, 2009
- Last Updated
- Jun 26, 2009
Practice Location
- Address
- 35 JEFFERSON AVENUE
- City
- Elizabeth
- State
- New Jersey
- ZIP Code
- 07201-2425
- Phone
- (908) 354-1188
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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