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Organization
PREMIER FAMILY DENTISTRY LLC
Active
Organization
PREMIER FAMILY DENTISTRY LLC
Active
Other names
Premier Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MOHANNAD ABBOUSHI DDS (OWNER DENTIST)
(973) 879-8761
Entity
Organization
Contact information
Practice address
194 BROAD ST, BLOOMFIELD, NJ 07003-4394
(973) 250-6400
Mailing address
194 BROAD ST, BLOOMFIELD, NJ 07003-4394
(973) 250-6400
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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