Jonathan Ebrahim, DDS

NPI #1710665450 in Clifton, New Jersey

Provider Information

NPI Number: 1710665450
Entity Type: Individual
Name: Jonathan Ebrahim, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 11, 2023
Last Updated: Jul 11, 2023

Practice Location

Address: 1011 CLIFTON AVE STE 2A
City: Clifton
State: New Jersey
ZIP Code: 07013-3518
Phone: (973) 365-2620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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