Bergen Periodontic Assoc Llc | |
333 Old Hook Road Suite 104 Westwood NJ 07675 | |
(201) 666-2330 | |
(201) 666-5043 |
Full Name | Bergen Periodontic Assoc Llc |
---|---|
Speciality | Dentist |
Location | 333 Old Hook Road, Westwood, New Jersey |
Authorized Official Name and Position | Liana Basceanu (OWNER) |
Authorized Official Contact | 2016662330 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bergen Periodontic Assoc Llc 333 Old Hook Road Suite 104 Westwood NJ 07675 Ph: (201) 666-2330 | Bergen Periodontic Assoc Llc 333 Old Hook Road Suite 104 Westwood NJ 07675 Ph: (201) 666-2330 |
NPI Number | 1972665875 |
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Provider Enumeration Date | 12/15/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972665875 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 22DIO842600 (New Jersey) | Primary |
122300000X | Dentist | (New Jersey) | Primary |
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