Individual
DEBORA OHEVSHALOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 PROSPECT AVENUE, HACKENSACK, NJ 07601
(551) 996-2000
Mailing address
30 PROSPECT AVENUE, HACKENSACK, NJ 07601
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058867-1
NY
Other
Enumeration date
06/10/2015
Last updated
10/28/2016
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