Provider Demographics
NPI:1447706189
Name:KESTLER AND JARUS D.D.S. PA
Entity type:Organization
Organization Name:KESTLER AND JARUS D.D.S. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIANELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-822-1087
Mailing Address - Street 1:308 E FRONT ST
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-1321
Mailing Address - Country:US
Mailing Address - Phone:908-756-3643
Mailing Address - Fax:908-756-7557
Practice Address - Street 1:308 E FRONT ST
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-1321
Practice Address - Country:US
Practice Address - Phone:908-756-3643
Practice Address - Fax:908-756-7557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D1009937001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty