| Lyndhurst Pediatric Dentistry, Llc | |
|
710 Ridge Rd Lyndhurst NJ 07071-3224 | |
| (201) 460-3431 | |
| (201) 507-9540 |
| Full Name | Lyndhurst Pediatric Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 710 Ridge Rd, Lyndhurst, New Jersey |
| Authorized Official Name and Position | Michael Neiman (OWNER) |
| Authorized Official Contact | 2014603431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyndhurst Pediatric Dentistry, Llc 710 Ridge Rd Lyndhurst NJ 07071-3224 Ph: (201) 460-3431 | Lyndhurst Pediatric Dentistry, Llc 710 Ridge Rd Lyndhurst NJ 07071-3224 Ph: (201) 460-3431 |
| NPI Number | 1891248647 |
|---|---|
| Provider Enumeration Date | 07/28/2016 |
| Last Update Date | 07/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891248647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 22D102310600 (New Jersey) | Primary |
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