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Organization
WESTCHESTER SQUARE FAMILY DENTAL LLC
Active
Organization
WESTCHESTER SQUARE FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FOUJAN NOURI DMD (OWNER-MEMBER)
(201) 921-3033
Entity
Organization
Contact information
Practice address
47 WESTCHESTER SQ, BRONX, NY 10461-3526
(718) 239-4300
Mailing address
PO BOX 528, EDGEWATER, NJ 07020-0528
(201) 921-3033
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/08/2007
Last updated
08/22/2020
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