Montgomery Greene Dental | |
105 Greene St Suite 1b Jersey City NJ 07302-3848 | |
(201) 204-0737 | |
Not Available |
Full Name | Montgomery Greene Dental |
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Speciality | Dentist |
Location | 105 Greene St, Jersey City, New Jersey |
Authorized Official Name and Position | Lana Bunis (OWNER) |
Authorized Official Contact | 2012040737 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Montgomery Greene Dental 105 Greene St Suite 1b Jersey City NJ 07302-3848 Ph: (201) 204-0737 | Montgomery Greene Dental 105 Greene St Suite 1b Jersey City NJ 07302-3848 Ph: (201) 204-0737 |
NPI Number | 1376797068 |
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Provider Enumeration Date | 11/08/2008 |
Last Update Date | 11/08/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376797068 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 22DI02264800 (New Jersey) | Primary |
122300000X | Dentist | 22DI02203700 (New Jersey) | Secondary |
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