Individual
MR. MARWAN M JALLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14 DOSCHER AVENUE, WEST NYACK, NY 10994
(845) 727-4124
(845) 727-4128
Mailing address
14 DOSCHER AVENUE, WEST NYACK, NY 10994
(845) 727-4124
(845) 727-4128
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
043263
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01283421
—
NY
Enumeration date
01/24/2007
Last updated
09/11/2007
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