Organization
DENTISTRY FOR ALL WNY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FOROUZAN GHAFFARI (DMD)
(973) 769-4897
Entity
Organization
Contact information
Practice address
5405 BERGENLINE AVE, DENTIST OFFICE, WEST NEW YORK, NJ 07093-4603
(973) 769-4897
Mailing address
301 KEARNY AVE, DENTAL OFFICE, KEARNY, NJ 07032-2522
(973) 769-4897
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02002700
NJ
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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