| North Bergen Dental Group | |
|
1216 Kennedy Blvd Bayonne NJ 07002-2208 | |
| (201) 858-3800 | |
| Not Available |
| Full Name | North Bergen Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1216 Kennedy Blvd, Bayonne, New Jersey |
| Authorized Official Name and Position | Peter Fuentes (OWNER) |
| Authorized Official Contact | 2018583800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Bergen Dental Group 1216 Kennedy Blvd Bayonne NJ 07002-2208 Ph: () - | North Bergen Dental Group 1216 Kennedy Blvd Bayonne NJ 07002-2208 Ph: (201) 858-3800 |
| NPI Number | 1376976506 |
|---|---|
| Provider Enumeration Date | 08/12/2013 |
| Last Update Date | 08/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376976506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22907 (New Jersey) | Primary |
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