Herawati T Kandou DDS PA
NPI #1871666586 in Elizabeth, New Jersey
Provider Information
- NPI Number
- 1871666586
- Entity Type
- Organization
- Organization Name
- Herawati T Kandou DDS PA
- Primary Specialty
- Dentist
- Enumeration Date
- Nov 17, 2006
- Last Updated
- May 30, 2008
Practice Location
- Address
- 35 JEFFERSON AVENUE
- City
- Elizabeth
- State
- New Jersey
- ZIP Code
- 07201-2425
- Phone
- (908) 354-1188
Authorized Official
- Name
- DR. HERAWATI T KANDOU, DDS
- Title
- PRESIDENT ORTHODONTIST
- Phone
- (908) 354-1188
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist |
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