Dental Professionals of Fair Lawn PA
NPI #1275781890 in Fair Lawn, New Jersey
Provider Information
- NPI Number
- 1275781890
- Entity Type
- Organization
- Organization Name
- Dental Professionals of Fair Lawn PA
- Primary Specialty
- Dentist
- Enumeration Date
- Sep 8, 2008
- Last Updated
- Apr 28, 2017
Practice Location
- Address
- 10-06 SADDLE RIVER RD
- City
- Fair Lawn
- State
- New Jersey
- ZIP Code
- 07410-5732
- Phone
- (201) 797-1555
Authorized Official
- Name
- DR. JODY Z. BARDASH, D.M.D.
- Title
- DENTIST
- Phone
- (201) 797-1555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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