Organization
SOUTHERN NEW JERSEY ORAL SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARIQ AZIZ VAZIR DDS (PRESIDENT)
(856) 428-4445
Entity
Organization
Contact information
Practice address
17 W ORMOND AVE, CHERRY HILL, NJ 08002-3041
(856) 428-4445
(856) 428-4497
Mailing address
17 W ORMOND AVE, CHERRY HILL, NJ 08002-3041
(856) 428-4445
(856) 428-4449
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI02490200
NJ
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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