Individual
MUSTAJAB KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1450 CLEMENTS BRIDGE RD STE 13, DEPTFORD, NJ 08096-3068
(856) 322-0536
Mailing address
121 S 43RD ST APT 402, PHILADELPHIA, PA 19104-3195
(267) 602-7211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02761100
NJ
1223G0001X
General Practice Dentistry
DS042225
PA
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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