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Muhammad Raza
Periodontist in Jackson Heights, New York
NPI 1043690290

Muhammad Raza is a Periodontist based in Jackson Heights, NY and is specialized in Periodontics. Muhammad Raza practices in Jackson Heights, NY. The NPI Number for Muhammad Raza is 1043690290 and holds a License No. (New York).

The current practice location address for Muhammad Raza is 7048 Broadway, Jackson Heights, NY and can be reached out via phone at 786-519-0012.

Location: 7048 Broadway, Jackson Heights, NY, 11372-6134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043690290
Provider Name
Muhammad Raza
Credential
Provider Entity Type
Individual
Gender
Male
Address
7048 Broadway, Jackson Heights, NY, 11372-6134
Phone Number
786-519-0012
Fax Number
Provider Enumeration Date
06/03/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7048 Broadway
City
Jackson Heights
State
New York
Zip
11372-6134
Phone Number
786-519-0012
Fax Number
person
Provider Business Mailing Address Details
Address
7048 Broadway
City
Jackson Heights
State
New York
Zip
11372-6134
Phone Number
786-519-0012
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
058637 (New York)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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