Provider Demographics
NPI:1609985340
Name:BAHSOUN-JABER, NAJWA M (DDS)
Entity Type:Individual
Prefix:DR
First Name:NAJWA
Middle Name:M
Last Name:BAHSOUN-JABER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:NAJWA
Other - Middle Name:
Other - Last Name:JABER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:4067 US HIGHWAY 9
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-3307
Mailing Address - Country:US
Mailing Address - Phone:732-730-2345
Mailing Address - Fax:732-730-2313
Practice Address - Street 1:4067 US HIGHWAY 9
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-3307
Practice Address - Country:US
Practice Address - Phone:732-730-2345
Practice Address - Fax:732-730-2313
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDIO20878122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist