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Individual

DR. KEN THAHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1030 SAINT GEORGES AVE, AVENEL, NJ 07001-1390
(732) 750-0707
Mailing address
1030 SAINT GEORGES AVE, AVENEL, NJ 07001-1390
(732) 750-0707

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02550000
NJ

Other

Enumeration date
09/10/2013
Last updated
09/10/2013
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