Bergenline Dental Group
NPI #1043477565 in Union City, New Jersey
Provider Information
- NPI Number
- 1043477565
- Entity Type
- Organization
- Organization Name
- Bergenline Dental Group
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 21, 2008
- Last Updated
- May 21, 2008
Practice Location
- Address
- 3916 BERGENLINE AVE
- Address 2
- 2ND FLOOR
- City
- Union City
- State
- New Jersey
- ZIP Code
- 07087-1612
- Phone
- (201) 865-5150
Authorized Official
- Name
- DR. PETER FUENTES, DMD
- Title
- OWNER/PRESIDENT
- Phone
- (201) 865-5150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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