Female

Maryam Manouchehri DMD

General Practice Dentistry in Pine Hill, NJ(View on Map)

Full Name

Maryam Manouchehri DMD

NPI Number

1235216342

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/01/2006

Specialties

(Taxonomies)

Code

1223G0001X

Primary Taxonomy

Yes

Licenses

State

New Jersey

License Number

20691

Contact
Information

Purpose

Mailing
Location

Address

1130 BLACKWOOD CLEMENTON RD
1130 BLACKWOOD CLEMENTON RD

City

Pine Hill
Pine Hill

State

NJ
NJ

Postal Code

08021-6965
08021-6965

Country

US
US

Telephone Number

(856) 627-2400
(856) 627-2400

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/14/2010

Provider Address

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