Hosseinkhani Hazaveh, Mahta

Hosseinkhani Hazaveh, Mahta is an individual health care provider with primary practice located at 63 Fornelius Ave , Clifton NJ 07013-1846. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Hosseinkhani Hazaveh, Mahta can be contacted via phone (862) 255-8968.

Contact Information

Primary practice address
63 Fornelius Ave Clifton NJ 07013-1846
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 0401417616 Virginia

Profile Details

NPI number 1568138063
LBN Legal business name Hosseinkhani Hazaveh, Mahta
Credentials DDS, MSC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2021
Last updated Aug 17th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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