# MANALAPAN DENTAL SPA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497439608
- **Authorized official:** KHALED G ELDIN DDS (DDS/OWNER)
- **Authorized official phone:** (732) 431-2622

## Contact information

- **Practice address:** 24 PLAZA 9, MANALAPAN, NJ 07726-3038
- **Practice address phone:** (732) 431-2622
- **Mailing address:** 24 PLAZA 9, MANALAPAN, NJ 07726-3038
- **Mailing address phone:** (732) 431-2622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2023
- **Last updated:** 06/09/2023