| Mondovi Dental Of New Jersey - Bejarano Pc | |
|
513 Boulevard Kenilworth NJ 07033-1637 | |
| (908) 276-6652 | |
| (908) 709-4337 |
| Full Name | Mondovi Dental Of New Jersey - Bejarano Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 513 Boulevard, Kenilworth, New Jersey |
| Authorized Official Name and Position | Diane Marie Brion-martin (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 7155982311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mondovi Dental Of New Jersey - Bejarano Pc Po Box 90 Mondovi WI 54755-0090 Ph: (715) 598-2311 | Mondovi Dental Of New Jersey - Bejarano Pc 513 Boulevard Kenilworth NJ 07033-1637 Ph: (908) 276-6652 |
| NPI Number | 1700365129 |
|---|---|
| Provider Enumeration Date | 08/07/2018 |
| Last Update Date | 08/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700365129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Glenn W Koechling Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 North 18th Street, Kenilworth, NJ 07033 Phone: 908-272-4170 Fax: 908-272-1420 | |
Ann Liu Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 N 18th St, Kenilworth, NJ 07033 Phone: 908-272-4170 Fax: 908-272-1420 | |
Kenilworth Dental Associates, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 513 Boulevard, Kenilworth, NJ 07033 Phone: 908-276-6652 Fax: 908-709-4337 | |
Derkasch & Dehkan Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Boulevard, Kenilworth, NJ 07033 Phone: 908-276-2225 Fax: 908-276-1550 | |
Derkasch Dental Health Associates Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Boulevard, Kenilworth, NJ 07033 Phone: 908-276-2225 Fax: 908-276-1550 |