| NPI | 1992145205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOUJAN NOURI Member 201-921-3033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ 22DI02099500) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2013-07-01 |