The Bedside Dentist LLC
NPI #1316224215 in Elizabeth, New Jersey
Provider Information
- NPI Number
- 1316224215
- Entity Type
- Organization
- Organization Name
- The Bedside Dentist LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 7, 2011
- Last Updated
- Nov 7, 2011
Practice Location
- Address
- 1155 E JERSEY ST
- City
- Elizabeth
- State
- New Jersey
- ZIP Code
- 07201-2310
- Phone
- (609) 701-5100
Authorized Official
- Name
- MARK LIEBERMAN
- Title
- MANAGER
- Phone
- (609) 701-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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