Provider Demographics
NPI:1841542370
Name:KHATER, ASMAHAN A (DDS)
Entity type:Individual
Prefix:DR
First Name:ASMAHAN
Middle Name:A
Last Name:KHATER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:401 HAMBURG TURNPIKE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470
Mailing Address - Country:US
Mailing Address - Phone:973-845-6133
Mailing Address - Fax:973-845-6135
Practice Address - Street 1:401 HAMBURG TURNPIKE
Practice Address - Street 2:SUITE 101
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470
Practice Address - Country:US
Practice Address - Phone:973-845-6133
Practice Address - Fax:973-845-6135
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-08
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI024254001223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics