| Bergen Pediatric Dental, Llc | |
|
45 Us Highway 46 Ridgefield Park NJ 07660-1948 | |
| (201) 440-2100 | |
| Not Available |
| Full Name | Bergen Pediatric Dental, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 45 Us Highway 46, Ridgefield Park, New Jersey |
| Authorized Official Name and Position | Dmitry Stillman (OWNER) |
| Authorized Official Contact | 2014402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bergen Pediatric Dental, Llc 45 Winant Ave Ridgefield Park NJ 07660 Ph: () - | Bergen Pediatric Dental, Llc 45 Us Highway 46 Ridgefield Park NJ 07660-1948 Ph: (201) 440-2100 |
| NPI Number | 1235323825 |
|---|---|
| Provider Enumeration Date | 08/28/2007 |
| Last Update Date | 08/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235323825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DI19909 (New Jersey) | Primary |
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