Individual
DR. MOHAMMAD A KHEIRALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
73 SUNSET STRIP, SUCCASUNNA, NJ 07876-1311
(973) 584-8447
Mailing address
73 SUNSET STRIP, SUCCASUNNA, NJ 07876-1311
(973) 584-8447
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
18885
NJ
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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