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Organization

SELECT DENTAL MANAHAWKIN, PA

Active
Other names
Federici Dental, Federici Dental PA
Organization subpart
No

Provider details

NPI number
Authorized official
MOHAMMAD MEHRAN ROUHANIAN (DDS/OWNER)
(301) 527-2727
Entity
Organization

Contact information

Practice address
1301 ROUTE 72 W, UNIT 230, MANAHAWKIN, NJ 08050-2417
(609) 597-1234
Mailing address
1301 ROUTE 72 W STE 230, MANAHAWKIN, NJ 08050-2483
(609) 597-1234

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10935
NJ
1223G0001X
General Practice Dentistry
Primary
10935
NJ
332BC3200X
Customized Equipment (DME)

Other

Enumeration date
01/15/2007
Last updated
06/15/2026
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