Tamari Gochiashvili, DMD - Newark, NJ

Tamari Gochiashvili, DMD

Student in an Organized Health Care Education/Training Program in Newark, New Jersey

NPI 1669166963

Tamari Gochiashvili is a Student in an Organized Health Care Education/Training Program based in Middletown, NJ. Tamari Gochiashvili practices in Newark, NJ and has the professional credentials of DMD. The NPI Number for Tamari Gochiashvili is 1669166963 and holds a License No. 22DR03825 (New Jersey).

The current practice location address for Tamari Gochiashvili is 110 Bergen St, Newark, NJ and can be reached out via phone at 973-972-4242.

Location: 110 Bergen St, Newark, NJ, 07748-1404

NPI Number

1669166963

Provider Name

Tamari Gochiashvili

Credential

DMD

Provider Entity Type

Individual

Gender

Female

Address

110 Bergen St, Newark, NJ, 07748-1404

Phone Number

973-972-4242

Fax Number

Provider Enumeration Date

06/08/2023

Last Update Date

03/10/2024

Address

110 Bergen St

City

Newark

State

New Jersey

Zip

07103-2495

Phone Number

973-972-4242

Fax Number

Address

110 Bergen St

City

Newark

State

New Jersey

Zip

07103-2495

Phone Number

973-972-4242

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

22DR03825 (New Jersey)

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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