Organization
SELECT DENTAL MANAHAWKIN PA
Active
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
04/03/2026
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