Provider Demographics
NPI:1124038922
Name:MONOKIAN, HARRY H (DMD, MAGD, PA)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:H
Last Name:MONOKIAN
Suffix:
Gender:M
Credentials:DMD, MAGD, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 W GREENTREE RD STE A
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-9416
Mailing Address - Country:US
Mailing Address - Phone:856-983-9620
Mailing Address - Fax:856-983-7714
Practice Address - Street 1:151 W GREENTREE RD STE A
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-9416
Practice Address - Country:US
Practice Address - Phone:856-983-9620
Practice Address - Fax:856-983-7714
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI107051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice