Individual
DR. HUSAM MUSALLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8412 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4265
(201) 758-7834
Mailing address
8412 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4265
(201) 758-7834
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02972700
NJ
1223G0001X
General Practice Dentistry
22DI02972700
NJ
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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