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Organization
SOUTHERN NEW JERSEY ORAL SURGERY PA
Active
Organization
SOUTHERN NEW JERSEY ORAL SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARIQ AZIZ VAZIR DDS (PRESIDENT)
(856) 428-4445
Entity
Organization
Contact information
Practice address
17 W ORMOND AVE, CHERRY HILL, NJ 08002-3041
(856) 428-4445
(856) 428-4497
Mailing address
17 W ORMOND AVE, CHERRY HILL, NJ 08002-3041
(856) 428-4445
(856) 428-4449
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI02490200
NJ
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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