Provider Demographics
NPI:1881009371
Name:HAREL, YANIV D (DMD)
Entity Type:Individual
Prefix:DR
First Name:YANIV
Middle Name:D
Last Name:HAREL
Suffix:
Gender:M
Credentials:DMD
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Mailing Address - Street 1:449 HURFFVILLE CROSSKEYS RD
Mailing Address - Street 2:UNIT II
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-9369
Mailing Address - Country:US
Mailing Address - Phone:856-582-4222
Mailing Address - Fax:856-582-2295
Practice Address - Street 1:909 WALNUT ST FL 3
Practice Address - Street 2:TJUH DEPT. OF ORAL & MAXILLOFACIAL SURGERY
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5211
Practice Address - Country:US
Practice Address - Phone:215-955-6215
Practice Address - Fax:215-923-9189
Is Sole Proprietor?:No
Enumeration Date:2014-06-24
Last Update Date:2021-06-24
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Provider Licenses
StateLicense IDTaxonomies
NJ22DI02832700204E00000X
PADS040030122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No122300000XDental ProvidersDentist