Individual
AMIR SADDREDIN FAKHRZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
263 MILLTOWN RD, EAST BRUNSWICK, NJ 08816-2254
(732) 613-8886
Mailing address
263 MILLTOWN RD, EAST BRUNSWICK, NJ 08816-2254
(732) 613-8886
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02595100
NJ
Other
Enumeration date
09/22/2014
Last updated
08/17/2015
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