Individual
DR. RONNY FARES KHALEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
75 MONTGOMERY ST FL 402, JERSEY CITY, NJ 07302-3726
(201) 684-9617
Mailing address
75 MONTGOMERY ST FL 402, JERSEY CITY, NJ 07302-3726
(201) 801-4339
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI03017800
NJ
1223G0001X
General Practice Dentistry
18069
MD
Other
Enumeration date
06/22/2023
Last updated
04/28/2024
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