Mondovi Dental of New Jersey - Bejarano PC
NPI #1700365129 in Kenilworth, New Jersey
Provider Information
- NPI Number
- 1700365129
- Entity Type
- Organization
- Organization Name
- Mondovi Dental of New Jersey - Bejarano PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 7, 2018
- Last Updated
- Aug 7, 2018
Practice Location
- Address
- 513 BOULEVARD
- City
- Kenilworth
- State
- New Jersey
- ZIP Code
- 07033-1637
- Phone
- (908) 276-6652
Authorized Official
- Name
- DIANE MARIE BRION-MARTIN
- Title
- CREDENTIALING SUPERVISOR
- Phone
- (715) 598-2311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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