| Mountain Lakes Premier Dental , Llc | |
|
420 Boulevard Suite#102 Mountain Lakes NJ 07046-1742 | |
| (973) 263-2770 | |
| (973) 263-1291 |
| Full Name | Mountain Lakes Premier Dental , Llc |
|---|---|
| Speciality | Dentist |
| Location | 420 Boulevard, Mountain Lakes, New Jersey |
| Authorized Official Name and Position | Nesrine Bestandji (OWNER DENTIST) |
| Authorized Official Contact | 9732632770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Lakes Premier Dental , Llc 420 Boulevard Suite#102 Mountain Lakes NJ 07046-1742 Ph: (973) 263-2770 | Mountain Lakes Premier Dental , Llc 420 Boulevard Suite#102 Mountain Lakes NJ 07046-1742 Ph: (973) 263-2770 |
| NPI Number | 1871919779 |
|---|---|
| Provider Enumeration Date | 03/15/2014 |
| Last Update Date | 06/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871919779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI02456600 (New Jersey) | Secondary |
| 122300000X | Dentist | 22DI02466900 (New Jersey) | Primary |