Siavash Dehghani, DMD
Dentist in Belleville, NJ. Individual provider (NPI-1).
NPI number1922434828
StatusActive
Last updated in NPPESSep 24, 2013
Details
- NPI
- 1922434828
- Entity type
- Individual (NPI-1)
- Name
- Siavash Dehghani
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2013
- Last updated
- Sep 24, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 22DR02643 | NJ | Yes |
Practice location
254 Greylock Pkwy Apt 2Belleville, NJ 07109-2723
Phone 617-462-5483
Mailing address
254 Greylock Pkwy Apt 2Belleville, NJ 07109-2723
Phone 617-462-5483
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