Most Relevant Information
Provider Data
NPI Number: | 1003286378 |
Provider Name: | MAL AZAR DMD |
Entity Type: | Individual |
Taxonomy Code: | 1223P0221X |
Specialty: | Dentist |
License Number: | DI02641500 |
Most Important Dates
Enumeration Date: | 09/30/2015 |
Last Updated: | 12/05/2016 |
Provider Practice Location
88 MORGAN ST
JERSEY CITY
NJ
073021427
Practice Location Phone/Fax
Phone: | 2014516727 |
Fax: |
Provider Mailing Location
88 MORGAN ST
JERSEY CITY
NJ
073021427
Provider Mailing Phone/Fax
Phone: | 2014516727 |
Fax: |