Jacob Pourat, DDS MS

NPI #1093447732 in Fort Lee, New Jersey

Provider Information

NPI Number: 1093447732
Entity Type: Individual
Name: Jacob Pourat, DDS MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS MS
Enumeration Date: Jun 30, 2022
Last Updated: Jun 30, 2022

Practice Location

Address: 1137 PALISADE AVE
City: Fort Lee
State: New Jersey
ZIP Code: 07024-6427
Phone: (201) 224-8180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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