Provider Demographics
NPI:1700991031
Name:KHALIL, MAHASEN MUSLEH (DDS)
Entity Type:Individual
Prefix:MRS
First Name:MAHASEN
Middle Name:MUSLEH
Last Name:KHALIL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1283 STATE HWY 27
Mailing Address - Street 2:STE B
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873
Mailing Address - Country:US
Mailing Address - Phone:732-745-2700
Mailing Address - Fax:732-246-7979
Practice Address - Street 1:1283 STATE HWY 27
Practice Address - Street 2:STE B
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873
Practice Address - Country:US
Practice Address - Phone:732-745-2700
Practice Address - Fax:732-246-7979
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI19473122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist