KHADIJAH ISMAEL

NEWARK, NJ
NPI1063542587
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NJ  22DI02314800)
Enumeration Date2007-03-06
Last Update Date2007-07-09
Business Address
-- KHADIJAH ISMAEL DMD
21 QUITMAN ST
NEWARK, NJ 07103-4105
Phone number: 973-424-4329
Mailing Address
-- KHADIJAH ISMAEL DMD
103 BORMAN AVE
AVENEL, NJ 07001-2106
Phone number: 973-979-6144