Individual
SHAIJA MUNEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
615 WYCKOFF AVE STE 2, WYCKOFF, NJ 07481-1353
(201) 891-0409
Mailing address
615 WYCKOFF AVE STE 2, WYCKOFF, NJ 07481-1353
(201) 891-0409
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22D12356200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22DI02356200
STATE
NJ
Enumeration date
09/08/2008
Last updated
01/08/2021
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