| Bergen Implant Center Pa | |
|
384 Broad Ave Leonia NJ 07605-1715 | |
| (201) 363-9890 | |
| Not Available |
| Full Name | Bergen Implant Center Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 384 Broad Ave, Leonia, New Jersey |
| Authorized Official Name and Position | Dongwook Kim (PRESIDENT) |
| Authorized Official Contact | 2014465244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bergen Implant Center Pa 384 Broad Ave Leonia NJ 07605-1715 Ph: (201) 446-5244 | Bergen Implant Center Pa 384 Broad Ave Leonia NJ 07605-1715 Ph: (201) 363-9890 |
| NPI Number | 1487443933 |
|---|---|
| Provider Enumeration Date | 05/01/2025 |
| Last Update Date | 05/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487443933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |