Most Relevant Information
Provider Data
| NPI Number: | 1003824913 |
| Provider Name: | SUDHAKER RAO BALMURI DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 17979 |
Most Important Dates
| Enumeration Date: | 08/04/2006 |
| Last Updated: | 06/04/2008 |
Provider Practice Location
343 PARK AVE
SUITE A5
EAST ORANGE
NJ
07017
Practice Location Phone/Fax
| Phone: | 9734148500 |
| Fax: | 9734148500 |
Provider Mailing Location
343 PARK AVE
SUITE A5
EAST ORANGE
NJ
07017
Provider Mailing Phone/Fax
| Phone: | 9734148500 |
| Fax: | 9734148500 |