Jalal Fatehi, DDS

NPI #1619193521 in Old Westbury, New York

Provider Information

NPI Number: 1619193521
Entity Type: Individual
Name: Jalal Fatehi, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Oral & Maxillofacial Surgery
Credential: DDS
Enumeration Date: Apr 18, 2007
Last Updated: Oct 10, 2023

Practice Location

Address: 22 PHEASANT RUN
City: Old Westbury
State: New York
ZIP Code: 11568-1703
Phone: (516) 484-2959

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Oral & Maxillofacial Surgery	204E00000X	Primary

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