| Juan C. Alonso,dmd | |
|
8321 Kennedy Blvd North Bergen NJ 07047-4245 | |
| (201) 854-7900 | |
| (201) 854-7885 |
| Full Name | Juan C. Alonso,dmd |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 8321 Kennedy Blvd, North Bergen, New Jersey |
| Authorized Official Name and Position | Juan C. Alonso (OWNER) |
| Authorized Official Contact | 2018547900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Juan C. Alonso,dmd 8321 Kennedy Blvd North Bergen NJ 07047-4245 Ph: (201) 854-7900 | Juan C. Alonso,dmd 8321 Kennedy Blvd North Bergen NJ 07047-4245 Ph: (201) 854-7900 |
| NPI Number | 1750503488 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750503488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DI14757 (New Jersey) | Primary |
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