| Bergenfield Dental Associates | |
|
29 W Church St Bergenfield NJ 07621-1703 | |
| (201) 384-0100 | |
| (201) 384-3558 |
| Full Name | Bergenfield Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 29 W Church St, Bergenfield, New Jersey |
| Authorized Official Name and Position | Ehab Tanios Shahid (PRESIDENT) |
| Authorized Official Contact | 2013840100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bergenfield Dental Associates 29 W Church St Bergenfield NJ 07621-1703 Ph: (201) 384-0100 | Bergenfield Dental Associates 29 W Church St Bergenfield NJ 07621-1703 Ph: (201) 384-0100 |
| NPI Number | 1972727345 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 09/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972727345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DI17120 (New Jersey) | Primary |
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