Bergen Line Endodontics LLC
NPI #1023344736 in West New York, New Jersey
Provider Information
- NPI Number
- 1023344736
- Entity Type
- Organization
- Organization Name
- Bergen Line Endodontics LLC
- Primary Specialty
- Dentist - Endodontics
- Enumeration Date
- Oct 30, 2009
- Last Updated
- Oct 30, 2009
Practice Location
- Address
- 5918 BERGENLINE AVE
- Address 2
- SUITE 201 B
- City
- West New York
- State
- New Jersey
- ZIP Code
- 07093-1392
- Phone
- (201) 861-2900
Authorized Official
- Name
- VIKTORIA DEMIANENKO
- Title
- OFFICE MANAGER
- Phone
- (718) 373-6707
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
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