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Organization

LIV ENDODONTICS,LLC

Active
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Organization

LIV ENDODONTICS,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NASSIM KOHLY ADS (DR)
(347) 989-6103
Entity
Organization

Contact information

Practice address
22 OLD SHORT HILLS RD STE 208, LIVINGSTON, NJ 07039-5605
(347) 989-6103
Mailing address
22 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5604

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114448941
NA
NY
Enumeration date
01/23/2022
Last updated
01/23/2022
About Stedi
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