| NPI | 1477645877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAHID YOUSSOUFIAN President 201-533-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI 19521) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2020-08-22 |