Maryam Manouchehri, DMD
Dentist, General Practice in Pine Hill, NJ. Individual provider (NPI-1).
NPI number1235216342
StatusActive
Last updated in NPPESJun 14, 2010
Details
- NPI
- 1235216342
- Entity type
- Individual (NPI-1)
- Name
- Maryam Manouchehri
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2006
- Last updated
- Jun 14, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 20691 | NJ | Yes |
Practice location
1130 Blackwood Clementon RdPine Hill, NJ 08021-6965
Phone 856-627-2400 · Fax 856-783-2798
Mailing address
1130 Blackwood Clementon RdPine Hill, NJ 08021-6965
Phone 856-627-2400 · Fax 856-783-2798
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