Organization
HELLER ORAL SUGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARIBA SHARIFAN DMD (PRESIDENT)
(973) 481-3078
Entity
Organization
Contact information
Practice address
639 MOUNT PROSPECT AVE FL 2, NEWARK, NJ 07104-3109
(973) 481-3078
(973) 481-2999
Mailing address
639 MOUNT PROSPECT AVE FL 2, NEWARK, NJ 07104-3109
(973) 481-3078
(973) 481-2999
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
24058
NJ
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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