Provider Demographics
NPI:1417570441
Name:RAJAN, VERONICA (DDS)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:RAJAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 STATE ROUTE 34 STE A
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-6688
Mailing Address - Country:US
Mailing Address - Phone:732-583-8009
Mailing Address - Fax:732-583-6969
Practice Address - Street 1:740 STATE ROUTE 34 STE A
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-6688
Practice Address - Country:US
Practice Address - Phone:732-583-8009
Practice Address - Fax:732-583-6969
Is Sole Proprietor?:No
Enumeration Date:2020-05-26
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI028466001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice