Mountain Lakes Premier Dental , Llc | |
420 Boulevard Suite#102 Mountain Lakes NJ 07046-1742 | |
(973) 263-2770 | |
(973) 263-1291 |
Full Name | Mountain Lakes Premier Dental , Llc |
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Speciality | Dentist |
Location | 420 Boulevard, Mountain Lakes, New Jersey |
Authorized Official Name and Position | Nesrine Bestandji (OWNER DENTIST) |
Authorized Official Contact | 9732632770 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mountain Lakes Premier Dental , Llc 420 Boulevard Suite#102 Mountain Lakes NJ 07046-1742 Ph: (973) 263-2770 | Mountain Lakes Premier Dental , Llc 420 Boulevard Suite#102 Mountain Lakes NJ 07046-1742 Ph: (973) 263-2770 |
NPI Number | 1871919779 |
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Provider Enumeration Date | 03/15/2014 |
Last Update Date | 06/04/2015 |
Identifier | Type | State | Issuer |
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1871919779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 22DI02466900 (New Jersey) | Primary |
122300000X | Dentist | 22DI02456600 (New Jersey) | Secondary |