Individual
ISRA HASSAN MUNIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
630 W 168TH ST, NEW YORK, NY 10032-3725
(212) 305-7626
Mailing address
1134 CONCORD DR, HADDONFIELD, NJ 08033-3503
(856) 323-3565
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI03005900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2022
Last updated
03/08/2024
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