Jonathan Ebrahim, DDS Valid NPI
Individual provider · Dentist · Clifton, NJ
- NPI
- 1710665450
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 22DI02984700 (NJ)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2023-07-11
- Last updated
- 2023-07-11
Practice location
1011 Clifton Ave Ste 2a
Clifton, NJ 07013-3518
(973) 365-2620