| South Bergen Oral Maxillofacial Surgery Llc | |
|
422 Stuyvesant Ave 1st Floor Lyndhurst NJ 07071-2326 | |
| (201) 935-4577 | |
| Not Available |
| Full Name | South Bergen Oral Maxillofacial Surgery Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 422 Stuyvesant Ave, Lyndhurst, New Jersey |
| Authorized Official Name and Position | Eshansh Arora (MEMBER) |
| Authorized Official Contact | 2019354577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Bergen Oral Maxillofacial Surgery Llc 422 Stuyvesant Ave 1st Floor Lyndhurst NJ 07071-2326 Ph: () - | South Bergen Oral Maxillofacial Surgery Llc 422 Stuyvesant Ave 1st Floor Lyndhurst NJ 07071-2326 Ph: (201) 935-4577 |
| NPI Number | 1073973939 |
|---|---|
| Provider Enumeration Date | 03/04/2016 |
| Last Update Date | 03/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073973939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 22DI02285405 (New Jersey) | Primary |
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