Jacob Pourat, DDSMS
Jacob Pourat, DDSMS is a Dentist in Fort Lee, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.
- Licensed in
- NJ
- In the registry since
- 2022
Practice location Address checks out
1137 Palisade AveFort Lee, NJ 07024-6427
Phone: (201) 224-8180
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Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 22DI02914400 (NJ) |
|---|
Record details
| NPI number | 1093447732 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDSMS |
| Sole proprietor | Yes |
| NPI enumerated | June 30, 2022 |
| Last updated in NPPES | June 30, 2022 |
| Certification date | June 30, 2022 |
| Mailing address | 194 Harwood Pl, Paramus, NJ 07652-4606 |
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