Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. HERAWATI TIRTADJAJA KANDOU, DDS
ActiveDR. HERAWATI TIRTADJAJA KANDOU, DDS is a Dentist healthcare provider located in ELIZABETH, New Jersey. NPI 1023246105 is currently active in the NPPES registry. Verify at CMS.
Dentist · ELIZABETH, NJ
Registration Details
- NPI Number
- 1023246105
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 26, 2009 (17.111961106571 yrs)
- Last Updated
- Jun 26, 2009
- Licenses
-
9708 (NJ)3026 (NJ)
Practice Information
- Address
-
35 JEFFERSON AVENUEELIZABETH, NJ, 072012425Browse NJ providers · Browse ZIP 07201
- Phone
- 9083541188
- Fax
- 9083527390
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Orthodontics
Other Dentist Providers in ELIZABETH, NJ
| Name | Credential | NPI |
|---|---|---|
| ALEKSEY NOVAKHOV | DDS | 1023008091 |
| DR. ELVIRA SABATER | DDS | 1447391180 |
| DR. ALINA MARGARITA BETANCOURT | D.M.D. | 1538293154 |
| DR. KAREN ANN MANCINI | D.M.D. | 1639296460 |
| RICARDO ARDUENGO | DMD | 1699976860 |
| DR. EDWIN RODRIGUEZ | D.D.S. | 1427222769 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.