| Bergen Line Endodontics Llc | |
|
5918 Bergenline Ave Suite 201 B West New York NJ 07093-1392 | |
| (201) 861-2900 | |
| (201) 662-9662 |
| Full Name | Bergen Line Endodontics Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 5918 Bergenline Ave, West New York, New Jersey |
| Authorized Official Name and Position | Viktoria Demianenko (OFFICE MANAGER) |
| Authorized Official Contact | 7183736707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bergen Line Endodontics Llc 5918 Bergenline Ave Suite 201 B West New York NJ 07093-1392 Ph: (201) 861-2900 | Bergen Line Endodontics Llc 5918 Bergenline Ave Suite 201 B West New York NJ 07093-1392 Ph: (201) 861-2900 |
| NPI Number | 1023344736 |
|---|---|
| Provider Enumeration Date | 10/30/2009 |
| Last Update Date | 10/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023344736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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