Individual
KHALID SKY DERMOUMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 ALBERT PL, JERSEY CITY, NJ 07305-3915
(201) 932-8437
Mailing address
1 ALBERT PL, JERSEY CITY, NJ 07305-3915
(201) 932-8437
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02766600
NJ
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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