Individual
DR. IFRAJ FUAD HAFIDH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
74 DELAWARE AVE, DELMAR, NY 12054-1548
(518) 439-3299
Mailing address
74 DELAWARE AVE, DELMAR, NY 12054-1548
(518) 439-3299
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
057235
NY
Other
Enumeration date
06/13/2012
Last updated
12/10/2014
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