Vidya Kini Kukkundur, DDS Valid NPI
Individual provider · General Practice Dentistry · Marlton, NJ
- NPI
- 1366690034
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 22DI02387200 (NJ)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2008-09-05
- Last updated
- 2021-10-30
Practice location
525 Route 73 S Ste 105
Marlton, NJ 08053-9643
(856) 596-4333