Provider Demographics
NPI:1588060354
Name:KAIMULAYIL, APARNA
Entity type:Individual
Prefix:DR
First Name:APARNA
Middle Name:
Last Name:KAIMULAYIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 TANGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-3306
Mailing Address - Country:US
Mailing Address - Phone:973-590-7111
Mailing Address - Fax:
Practice Address - Street 1:75 TANGLEWOOD DR
Practice Address - Street 2:
Practice Address - City:EAST HANOVER
Practice Address - State:NJ
Practice Address - Zip Code:07936-3306
Practice Address - Country:US
Practice Address - Phone:973-590-7111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-06
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D102588500122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist