Individual
GEORGE HISHMEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
25-15 BROADWAY, FAIR LAWN, NJ 07410-3813
(201) 254-2969
Mailing address
25-15 BROADWAY, FAIR LAWN, NJ 07410-3813
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
062360
NY
122300000X
Dentist
22DI02842500
NJ
1223P0221X
Pediatric Dentistry
062360
NY
1223P0221X
Pediatric Dentistry
Primary
22DI02842500
NJ
Other
Enumeration date
01/24/2020
Last updated
09/19/2024
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