Individual
DR. KAYVON HAGHIGHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD, FACS
Contact information
Practice address
276 BROAD ST, RED BANK, NJ 07701-2003
(732) 530-1110
Mailing address
276 BROAD ST, RED BANK, NJ 07701-2003
(732) 530-1110
(732) 530-5103
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI02192900
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
25MA07352000
NJ
Other
Enumeration date
11/28/2006
Last updated
04/21/2016
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