Individual
KHALED HUSSEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4 HASTINGS PL, CARTERET, NJ 07008-1805
(718) 249-3107
Mailing address
17 51ST STREET, APT 34, WEEHAWKEN, NJ 07086
(718) 249-3107
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02686900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2016
Last updated
09/07/2017
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