Individual
JONATHAN EBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1011 CLIFTON AVE STE 2A, CLIFTON, NJ 07013-3518
(973) 365-2620
Mailing address
1011 CLIFTON AVE STE 2A, CLIFTON, NJ 07013-3518
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02984700
NJ
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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