Individual
SARA ELNAZ BARAZESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
132 FOREST ST APT 1, MONTCLAIR, NJ 07042-3806
(908) 500-4921
Mailing address
132 FOREST ST APT 1, MONTCLAIR, NJ 07042-3806
(908) 500-4921
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02872200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/27/2021
Last updated
07/10/2023
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