Individual
DR. MARYAM JAHANSOUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
265 CEDAR LN STE 203, TEANECK, NJ 07666-3444
(201) 488-1164
(201) 488-1137
Mailing address
139 SAND RD, WESTWOOD, NJ 07675-2419
(201) 965-0087
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21766
NJ
Other
Enumeration date
01/02/2007
Last updated
10/21/2024
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