Whalio Doctors

NPI 1194861591

East Brunswick Periodontics and Dental Implants

Organisation Periodontics East Brunswick, NJ

Practice location

Address
E 7 Brier Hill CT, East Brunswick, NJ 08816-3336
Phone
(732) 651-8470
Fax
(732) 651-8033

Authorised official

Name
Nima Mir Madjlessi
Title
Doctor
Phone
(732) 651-8470

Registered specialties

Periodontics Primary
Dental Providers Taxonomy 1223P0300X Licence 20508 (NJ)

Registry record

NPI
1194861591
Entity type
Organization
NPI issued
30 Jan 2007
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.