# HARRISON FAMILT DENTIST PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366708752
- **Authorized official:** DR. FOROUZAN GHAFFARI DMD (OWNER)
- **Authorized official phone:** (973) 769-4897

## Contact information

- **Practice address:** 300 HARRISON AVE, HARRISON, NJ 07029
- **Practice address phone:** (973) 241-5900
- **Mailing address:** 300 HARRISON AVE, HARRISON, NJ 07029
- **Mailing address phone:** (973) 241-5900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DIO2002700 | NJ | Yes |

## Other

- **Enumeration date:** 04/10/2012
- **Last updated:** 04/10/2012