Herawati T Kandou DDS PA
NPI #1245499847 in Warren, New Jersey
Provider Information
- NPI Number
- 1245499847
- Entity Type
- Organization
- Organization Name
- Herawati T Kandou DDS PA
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- HERAWATI T KANDOU DDS PA
- Primary Specialty
- Dentist
- Enumeration Date
- Jun 9, 2008
- Last Updated
- Jun 9, 2008
Practice Location
- Address
- 163 WASHINGTON VALLEY RD STE 106
- Address 2
- WASHINGTON VALLEY OFFICE PARK
- City
- Warren
- State
- New Jersey
- ZIP Code
- 07059-7181
- Phone
- (732) 560-5988
Authorized Official
- Name
- DR. HERAWATI T KANDOU, DDS
- Title
- PRESIDENT ORTHODONTIST
- Phone
- (732) 560-5988
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist |
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