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1225096720
MAHNAZ FATAHZADEH
NEWARK, NJ
NPI
1225096720
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NJ DI020908)
Enumeration Date
2006-05-03
Last Update Date
2019-04-04
Business Address
MAHNAZ FATAHZADEH DMD
110 BEGERN STREET NJ DENTAL SCHOOL ORAL MEDICINE CLINIC D LEVEL AREA 12
NEWARK, NJ 07103
Phone number: 973-972-1956
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Mailing Address
MAHNAZ FATAHZADEH DMD
15 JON LEIF LANE
CHESTNUT RIDGE, NY 10977
Phone number: 865-356-6084
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