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Khadijah Ismael, DMD
General Practice Dentistry in Newark, New Jersey
NPI 1063542587

Khadijah Ismael is a General Practice Dentistry based in Avenel, NJ and is specialized in General Practice. Khadijah Ismael practices in Newark, NJ and has the professional credentials of DMD. The NPI Number for Khadijah Ismael is 1063542587 and holds a License No. 22DI02314800 (New Jersey).

The current practice location address for Khadijah Ismael is 21 Quitman St, Newark, NJ and can be reached out via phone at 973-424-4329 and via fax at 973-824-2097.

Location: 21 Quitman St, Newark, NJ, 07001-2106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063542587
Provider Name
Khadijah Ismael
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
21 Quitman St, Newark, NJ, 07001-2106
Phone Number
973-424-4329
Fax Number
973-824-2097
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0097845 05 NJ
0097829 05 NJ
0097837 05 NJ
institution
Provider Business Practice Location Address Details
Address
21 Quitman St
City
Newark
State
New Jersey
Zip
07103-4105
Phone Number
973-424-4329
Fax Number
973-824-2097
person
Provider Business Mailing Address Details
Address
21 Quitman St
City
Newark
State
New Jersey
Zip
07103-4105
Phone Number
973-424-4329
Fax Number
973-824-2097
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
22DI02314800 (New Jersey)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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