| Bethel Oral Surgery | |
|
1319 Anderson Ave Suite #d Fort Lee NJ 07024-1770 | |
| (201) 969-8888 | |
| Not Available |
| Full Name | Bethel Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1319 Anderson Ave, Fort Lee, New Jersey |
| Authorized Official Name and Position | Andrew Kim (OWNER) |
| Authorized Official Contact | 2019698888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethel Oral Surgery 1319 Anderson Ave Suite #d Fort Lee NJ 07024-1770 Ph: (201) 969-8888 | Bethel Oral Surgery 1319 Anderson Ave Suite #d Fort Lee NJ 07024-1770 Ph: (201) 969-8888 |
| NPI Number | 1780992958 |
|---|---|
| Provider Enumeration Date | 09/21/2010 |
| Last Update Date | 09/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780992958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 20618 (New Jersey) | Primary |
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