Maryam Manouchehri, DMD Valid NPI
Individual provider · General Practice Dentistry · Pine Hill, NJ
- NPI
- 1235216342
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 20691 (NJ)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-11-01
- Last updated
- 2010-06-14
Practice location
1130 Blackwood Clementon Rd
Pine Hill, NJ 08021-6965
(856) 627-2400