Individual
DR. MOJTABA WALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 US HIGHWAY 46 STE 13, BUDD LAKE, NJ 07828-1706
(973) 347-8110
Mailing address
100 US HIGHWAY 46 STE 13, BUDD LAKE, NJ 07828-1706
(973) 347-8110
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02973300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Enumeration date
03/30/2022
Last updated
05/02/2024
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