Mountain Lakes Premier Dental , LLC

NPI #1871919779 in Mountain Lakes, New Jersey

Provider Information

NPI Number: 1871919779
Entity Type: Organization
Organization Name: Mountain Lakes Premier Dental , LLC
Primary Specialty: Dentist
Enumeration Date: Mar 15, 2014
Last Updated: Jun 4, 2015

Practice Location

Address: 420 BOULEVARD
Address 2: SUITE#102
City: Mountain Lakes
State: New Jersey
ZIP Code: 07046-1742
Phone: (973) 263-2770

Authorized Official

Name: DR. NESRINE BESTANDJI, D.M.D.
Title: OWNER DENTIST
Phone: (973) 263-2770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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