Individual
DR. MINA A ELFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
167 GROVE ST, LODI, NJ 07644-3027
(973) 458-1156
Mailing address
2800 RACHEL TER, APT 13, PINE BROOK, NJ 07058-9674
(201) 921-4667
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02640600
NJ
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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