Provider Demographics
NPI:1457636557
Name:NITIKA GOYAL, DDS CORPORATION
Entity Type:Organization
Organization Name:NITIKA GOYAL, DDS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NITIKA
Authorized Official - Middle Name:K
Authorized Official - Last Name:GOYAL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:908-598-0050
Mailing Address - Street 1:47 MAPLE ST
Mailing Address - Street 2:STE 305
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-2571
Mailing Address - Country:US
Mailing Address - Phone:908-598-0050
Mailing Address - Fax:908-598-0051
Practice Address - Street 1:47 MAPLE ST
Practice Address - Street 2:STE 305
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-2571
Practice Address - Country:US
Practice Address - Phone:908-598-0050
Practice Address - Fax:908-598-0051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty