| Bergen Prosthodontics Llc | |
|
102 Chestnut Ridge Rd Ste 201 Montvale NJ 07645-1856 | |
| (201) 582-2264 | |
| Not Available |
| Full Name | Bergen Prosthodontics Llc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 102 Chestnut Ridge Rd Ste 201, Montvale, New Jersey |
| Authorized Official Name and Position | Sung Eun Kim (CEO/DENTIST) |
| Authorized Official Contact | 2015822264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bergen Prosthodontics Llc 22 Garnet Dr Woodland Park NJ 07424-4215 Ph: (201) 988-5633 | Bergen Prosthodontics Llc 102 Chestnut Ridge Rd Ste 201 Montvale NJ 07645-1856 Ph: (201) 582-2264 |
| NPI Number | 1043088396 |
|---|---|
| Provider Enumeration Date | 12/15/2023 |
| Last Update Date | 12/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043088396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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