North Bergen Dental Group | |
1216 Kennedy Blvd Bayonne NJ 07002-2208 | |
(201) 858-3800 | |
Not Available |
Full Name | North Bergen Dental Group |
---|---|
Speciality | Dentist - General Practice |
Location | 1216 Kennedy Blvd, Bayonne, New Jersey |
Authorized Official Name and Position | Peter Fuentes (OWNER) |
Authorized Official Contact | 2018583800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
North Bergen Dental Group 1216 Kennedy Blvd Bayonne NJ 07002-2208 Ph: () - | North Bergen Dental Group 1216 Kennedy Blvd Bayonne NJ 07002-2208 Ph: (201) 858-3800 |
NPI Number | 1376976506 |
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Provider Enumeration Date | 08/12/2013 |
Last Update Date | 08/12/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376976506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 22907 (New Jersey) | Primary |
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