Individual
MOHAB W TANIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
555 LAKEHURST RD, TOMS RIVER, NJ 08755-8044
(732) 341-6800
Mailing address
144 NEBRASKA AVE, APT 4, HAMILTON, NJ 08619-2865
(609) 584-2677
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
22DI02360400
NJ
1223G0001X
General Practice Dentistry
Primary
DI23604
NJ
Other
Enumeration date
12/06/2007
Last updated
07/03/2012
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