MEDICARE: PREETI KANSAL DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	22DI02497400	NJ

General Provider Information

NPI Number	:	1952668774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PREETI KANSAL DDS

Provider Business Mailing Address
First Line	:	46 VREELAND DR
Second Line	:
City	:	SKILLMAN
State	:	NJ
Zip	:	08558-2638
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	46 VREELAND DR
Second Line	:
City	:	SKILLMAN
State	:	NJ
Zip	:	08558-2638
Country	:	US
Telephone Number	:	609-252-9000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2012
Last Update Date	:	04/18/2012

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Directions to “ PREETI KANSAL DDS” Practice Location

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