| NPI | 1588112536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOROUZAN GHAFFARI Dmd 973-769-4897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ 22DI02002700) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |