Individual
DR. KHALED Y ALWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
222 HALEDON AVE, PROSPECT PARK, NJ 07508-2024
(973) 904-9611
(973) 904-0857
Mailing address
194 FRENCH HILL RD, WAYNE, NJ 07470-3932
(973) 872-2603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01795900
NJ
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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