Individual
DR. GHAZAL MAHJOUBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
120 NASSAU AVE BROOKLYN NY, BROOKLYN, NY 11222
(718) 389-8889
Mailing address
441 EAST 6TH STREET APT 3R, NEW YORK, NY 10009
(617) 875-5677
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
056147
NY
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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