Organization
HARRISON FAMILT DENTIST PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FOROUZAN GHAFFARI DMD (OWNER)
(973) 769-4897
Entity
Organization
Contact information
Practice address
300 HARRISON AVE, HARRISON, NJ 07029
(973) 241-5900
Mailing address
300 HARRISON AVE, HARRISON, NJ 07029
(973) 241-5900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DIO2002700
NJ
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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