Individual
MOZHDEH NEMATOLLAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
252 MADISON AVE STE 106, PERTH AMBOY, NJ 08861-4314
(732) 997-6453
Mailing address
305 PEACH ST, AVENEL, NJ 07001-1005
(848) 235-8264
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI03045100
NJ
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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