Manouchehri, Maryam
Manouchehri, Maryam is an individual health care provider with primary practice located at 1130 Blackwood Clementon Rd , Pine Hill NJ 08021-6965. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Manouchehri, Maryam can be contacted via phone (856) 627-2400.Contact Information
Primary practice address
1130 Blackwood Clementon Rd
Pine Hill NJ 08021-6965
Phone: (856) 627-2400
Fax: (856) 783-2798
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 20691 | New Jersey |
Profile Details
| NPI number | 1235216342 |
|---|---|
| LBN Legal business name | Manouchehri, Maryam |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jun 14th, 2010 - about 14 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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