Individual
DR. SERAG IBRAHIM KHAMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
301 HAZEL ST, CLIFTON, NJ 07011-2812
(973) 246-5177
Mailing address
930 CLIFTON AVE, CLIFTON, NJ 07013-2723
(201) 696-1802
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02476000
NJ
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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