North Bergen Dental Group | |
7601 Broadway North Bergen NJ 07047-5723 | |
(201) 869-3107 | |
Not Available |
Full Name | North Bergen Dental Group |
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Speciality | Dentist - General Practice |
Location | 7601 Broadway, North Bergen, New Jersey |
Authorized Official Name and Position | Peter Fuentes (PRESIDENT) |
Authorized Official Contact | 2018693107 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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North Bergen Dental Group 7601 Broadway North Bergen NJ 07047-5723 Ph: (201) 869-3107 | North Bergen Dental Group 7601 Broadway North Bergen NJ 07047-5723 Ph: (201) 869-3107 |
NPI Number | 1861728784 |
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Provider Enumeration Date | 10/28/2009 |
Last Update Date | 10/28/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861728784 | NPI | - | NPPES |
0154814 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 22907 (New Jersey) | Primary |
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