| Lyndhurst Dental Medicine, Llc | |
|
464 Valley Brook Ave Lyndhurst NJ 07071-1998 | |
| (201) 933-9092 | |
| (201) 933-6690 |
| Full Name | Lyndhurst Dental Medicine, Llc |
|---|---|
| Speciality | Dentist |
| Location | 464 Valley Brook Ave, Lyndhurst, New Jersey |
| Authorized Official Name and Position | Ross Lesser (OWNER) |
| Authorized Official Contact | 2019339092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyndhurst Dental Medicine, Llc 464 Valley Brook Ave Lyndhurst NJ 07071-1998 Ph: (201) 933-9092 | Lyndhurst Dental Medicine, Llc 464 Valley Brook Ave Lyndhurst NJ 07071-1998 Ph: (201) 933-9092 |
| NPI Number | 1841406782 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841406782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DI17675 (New Jersey) | Primary |
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