Individual
MARYA IJAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
14 GRAND AVE, TOMS RIVER, NJ 08753-7504
(732) 286-7000
Mailing address
4213 FAIRVIEW LN W, JACKSON, NJ 08527-3610
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02803200
NJ
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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