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Individual

DR. YEHUDA ISSEROFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
625 LAFAYETTE AVE, HAWTHORNE, NJ 07506-3401
(973) 567-7773
Mailing address
57 GLENWOOD DR E, BERGENFIELD, NJ 07621-3341

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI026544000
NJ

Other

Enumeration date
01/25/2018
Last updated
01/25/2018
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