Fadi Beydoun, D.M.D Valid NPI

Individual provider · Periodontics · Avenel, NJ

NPI

1265559983

Type

Individual (Type 1)

Primary specialty

Periodontics (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223P0300X

License number

19152 (NJ)

Sex

Male

Sole proprietor

No

Enumerated

2007-03-26

Last updated

2007-07-08