Provider Demographics
NPI:1952573792
Name:POOJA KHURANA DDS,PC
Entity Type:Organization
Organization Name:POOJA KHURANA DDS,PC
Other - Org Name:TODAY'S DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:POOJA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHURANA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:973-675-1799
Mailing Address - Street 1:185 CENTRAL AVE
Mailing Address - Street 2:SUITE 405
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-3332
Mailing Address - Country:US
Mailing Address - Phone:973-675-1799
Mailing Address - Fax:973-678-8715
Practice Address - Street 1:185 CENTRAL AVE
Practice Address - Street 2:SUITE 405
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-3332
Practice Address - Country:US
Practice Address - Phone:973-675-1799
Practice Address - Fax:973-678-8715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI 021988001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0141160Medicaid
NJ0157988Medicaid