Individual
MOHANNAD ABBOUSHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
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
122300000X
Dentist
Primary
22DI02985800
NJ
Other
Enumeration date
06/23/2023
Last updated
07/25/2024
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