| 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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