North Bergen Dental Group
NPI #1861728784 in North Bergen, New Jersey
Provider Information
- NPI Number
- 1861728784
- Entity Type
- Organization
- Organization Name
- North Bergen Dental Group
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 28, 2009
- Last Updated
- Oct 28, 2009
Practice Location
- Address
- 7601 BROADWAY
- City
- North Bergen
- State
- New Jersey
- ZIP Code
- 07047-5723
- Phone
- (201) 869-3107
Authorized Official
- Name
- DR. PETER FUENTES, DMD
- Title
- PRESIDENT
- Phone
- (201) 869-3107
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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