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Organization

WEST NEW YORK DENTAL LLC

Active
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Organization

WEST NEW YORK DENTAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FOUJAN NOURI DMD (MEMBER)
(201) 921-3033
Entity
Organization

Contact information

Practice address
4900 BERGENLINE AVE, UNION CITY, NJ 07087-1611
(201) 921-3033
Mailing address
4900 BERGENLINE AVE, UNION CITY, NJ 07087-1611
(201) 921-3033

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02099500
NJ

Other

Enumeration date
07/01/2013
Last updated
07/01/2013
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