Abdollahi, Mitra
Abdollahi, Mitra is an sole proprietor health care provider with primary practice located at 3 N White Horse Pike , Somerdale NJ 08083-1740. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Abdollahi, Mitra can be contacted via phone (856) 782-0800.Contact Information
Primary practice address
3 N White Horse Pike
Somerdale NJ 08083-1740
Phone: (856) 782-0800
Fax: (856) 782-7868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D019160 | New Jersey |
Profile Details
| NPI number | 1033329230 |
|---|---|
| LBN Legal business name | Abdollahi, Mitra |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033329230 | NPPES |
| New Jersey | MEDICAID | 6618901 | |
| New Jersey | MEDICAID | 1035795 |
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