JALAL FATEHI

OLD WESTBURY, NY
NPI1619193521
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
(Licence: NY  046724)
Additional Taxonomies204E00000X Oral & Maxillofacial Surgery
(Licence: NJ  22DI01985000)
Enumeration Date2007-04-18
Last Update Date2023-10-10
Business Address
JALAL FATEHI DDS
22 PHEASANT RUN
OLD WESTBURY, NY 11568-1703
Phone number: 516-484-2959
Mailing Address
JALAL FATEHI DDS
22 PHEASANT RUN
OLD WESTBURY, NY 11568-1703
Phone number: 201-406-4065