Most Relevant Information
Provider Data
| NPI Number: | 1003394453 |
| Provider Name: | VIQAR H MOOSAVI DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 22DI02722800 |
Most Important Dates
| Enumeration Date: | 07/29/2018 |
| Last Updated: | 07/29/2018 |
Provider Practice Location
1636 ROUTE 38 STE 21
LUMBERTON
NJ
080482987
Practice Location Phone/Fax
| Phone: | 6099145050 |
| Fax: |
Provider Mailing Location
110 TAMMY LN
MICKLETON
NJ
080561024
Provider Mailing Phone/Fax
| Phone: | 6093328609 |
| Fax: |