Individual
SAMUEL MEGHADRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7 E WASHINGTON AVE, WASHINGTON, NJ 07882-1912
(908) 835-0800
(908) 835-8952
Mailing address
7 E WASHINGTON AVE, WASHINGTON, NJ 07882-1912
(908) 835-0800
(908) 835-8952
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI21258
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9050809
—
NJ
Enumeration date
07/18/2006
Last updated
07/09/2007
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