| Bridge Oral-facial Surgery And Implant Center, Llc | |
|
2029 Lemoine Ave Suite 103 Fort Lee NJ 07024-5704 | |
| (201) 585-9800 | |
| (201) 585-9820 |
| Full Name | Bridge Oral-facial Surgery And Implant Center, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2029 Lemoine Ave, Fort Lee, New Jersey |
| Authorized Official Name and Position | Brian F Bovino (PARTNER) |
| Authorized Official Contact | 2015859800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Oral-facial Surgery And Implant Center, Llc 2029 Lemoine Ave Suite 103 Fort Lee NJ 07024-5704 Ph: (201) 585-9800 | Bridge Oral-facial Surgery And Implant Center, Llc 2029 Lemoine Ave Suite 103 Fort Lee NJ 07024-5704 Ph: (201) 585-9800 |
| NPI Number | 1275961815 |
|---|---|
| Provider Enumeration Date | 10/16/2013 |
| Last Update Date | 10/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275961815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 015109 (New Jersey) | Primary |
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