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1063542587
KHADIJAH ISMAEL
NEWARK, NJ
NPI
1063542587
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NJ 22DI02314800)
Enumeration Date
2007-03-06
Last Update Date
2007-07-09
Business Address
-- KHADIJAH ISMAEL DMD
21 QUITMAN ST
NEWARK, NJ 07103-4105
Phone number: 973-424-4329
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Mailing Address
-- KHADIJAH ISMAEL DMD
103 BORMAN AVE
AVENEL, NJ 07001-2106
Phone number: 973-979-6144
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