| Blvd Orthodontics Llc | |
|
500 Boulevard Of The Americas Ste 105 Lakewood NJ 08701 | |
| (848) 228-2583 | |
| Not Available |
| Full Name | Blvd Orthodontics Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 500 Boulevard Of The Americas, Lakewood, New Jersey |
| Authorized Official Name and Position | Mordechai Fried (OWNER/ DENTIST) |
| Authorized Official Contact | 5168504045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blvd Orthodontics Llc 130 Hempstead Ave Apt 209 West Hempstead NY 11552-2149 Ph: (516) 850-4045 | Blvd Orthodontics Llc 500 Boulevard Of The Americas Ste 105 Lakewood NJ 08701 Ph: (848) 228-2583 |
| NPI Number | 1619855947 |
|---|---|
| Provider Enumeration Date | 08/25/2025 |
| Last Update Date | 08/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619855947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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