Individual
DR. ZAKI MUSTACCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1000 ROUTE 70 STE 8, LAKEWOOD, NJ 08701-5961
(848) 245-0779
(848) 245-0780
Mailing address
1000 ROUTE 70 STE 8, LAKEWOOD, NJ 08701-5961
(848) 245-0779
(848) 245-0780
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI02852300
NJ
1223P0221X
Pediatric Dentistry
DN26058
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0826251
—
NJ
Enumeration date
02/15/2021
Last updated
09/25/2024
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