Bgaw Treatment

NPI #1982087656 in South Orange, New Jersey

Provider Information

NPI Number: 1982087656
Entity Type: Organization
Organization Name: Bgaw Treatment
Primary Specialty: Dentist
Enumeration Date: Jun 30, 2015
Last Updated: Jun 30, 2015

Practice Location

Address: 206 MONTROSE AVE
City: South Orange
State: New Jersey
ZIP Code: 07079-2417
Phone: (973) 640-0732

Authorized Official

Name: BARRY GLASSMAN, DDS
Title: OWNER
Phone: (908) 258-0341

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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