Organization
PREMIER FAMILY DENTISTRY LLC
Active
Other names
Premier Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MOHANNAD ABBOUSHI DDS (OWNER DENTIST)
(973) 879-8761
Entity
Organization
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
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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