Provider Demographics
NPI:1316019730
Name:REHEMAN, MONILA (DMD)
Entity Type:Individual
Prefix:
First Name:MONILA
Middle Name:
Last Name:REHEMAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 NEWARK POMPTON TPKE
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-1107
Mailing Address - Country:US
Mailing Address - Phone:973-256-2222
Mailing Address - Fax:973-256-3862
Practice Address - Street 1:81 NEWARK POMPTON TPKE
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07424-1107
Practice Address - Country:US
Practice Address - Phone:973-256-2222
Practice Address - Fax:973-256-3862
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI023069001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice