Individual
NISHAT ANBAR SHAHABUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3123 KENNEDY BLVD, NORTH BERGEN, NJ 07047-2378
(201) 662-0662
Mailing address
306 W 48TH ST APT 26A, NEW YORK, NY 10036-1385
(917) 757-0981
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02811203
NJ
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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