Mahnaz Fatahzadeh, DMD

NPI #1225096720 in Newark, New Jersey

Provider Information

NPI Number: 1225096720
Entity Type: Individual
Name: Mahnaz Fatahzadeh, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: May 3, 2006
Last Updated: Apr 4, 2019

Practice Location

Address: 110 BEGERN STREET
Address 2: NJ DENTAL SCHOOL ORAL MEDICINE CLINIC D LEVEL AREA 12
City: Newark
State: New Jersey
ZIP Code: 07103
Phone: (973) 972-1956

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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