Madhavi Gottimukkula, D.M.D Valid NPI
Individual provider · General Practice Dentistry · Avenel, NJ
- NPI
- 1639362098
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 23565 (NJ)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-08-20
- Last updated
- 2007-08-20
Practice location
1030 Saint Georges Ave
Avenel, NJ 07001-1390
(732) 750-0707