Individual
MRS. MAHEEN ISHAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
573 MLK BLVD, NEWARK, NJ 07102-1215
(973) 622-3614
(973) 622-1710
Mailing address
448 POST AVE, LYNDHURST, NJ 07071-2423
(973) 622-3614
(973) 622-1710
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02372000
NJ
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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