Organization
NJK PREMIER FAMILY DENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADEEM J KOUSSA DDS (PRESIDENT)
(440) 268-0768
Entity
Organization
Contact information
Practice address
13477 PROSPECT RD, SUITE 212, STRONGSVILLE, OH 44149-3867
(440) 268-0768
(440) 268-0739
Mailing address
13477 PROSPECT RD, SUITE 212, STRONGSVILLE, OH 44149-3867
(440) 268-0768
(440) 268-0739
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/13/2006
Last updated
08/22/2020
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