Heller Oral Sugery Llc | |
639 Mount Prospect Ave Fl 2 Newark NJ 07104-3109 | |
(973) 481-3078 | |
(973) 481-2999 |
Full Name | Heller Oral Sugery Llc |
---|---|
Speciality | Dentist - Oral And Maxillofacial Pathology |
Location | 639 Mount Prospect Ave Fl 2, Newark, New Jersey |
Authorized Official Name and Position | Fariba Sharifan (PRESIDENT) |
Authorized Official Contact | 9734813078 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Heller Oral Sugery Llc 639 Mount Prospect Ave Fl 2 Newark NJ 07104-3109 Ph: (973) 481-3078 | Heller Oral Sugery Llc 639 Mount Prospect Ave Fl 2 Newark NJ 07104-3109 Ph: (973) 481-3078 |
NPI Number | 1154734325 |
---|---|
Provider Enumeration Date | 06/05/2014 |
Last Update Date | 06/05/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154734325 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0106X | Dentist - Oral And Maxillofacial Pathology | 24058 (New Jersey) | Primary |
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