Ridgewood Dental Group LLC
NPI #1992981062 in Ridgewood, New Jersey
Provider Information
- NPI Number
- 1992981062
- Entity Type
- Organization
- Organization Name
- Ridgewood Dental Group LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Jan 18, 2008
- Last Updated
- Oct 3, 2013
Practice Location
- Address
- 75 CHESTNUT ST
- City
- Ridgewood
- State
- New Jersey
- ZIP Code
- 07450-2501
- Phone
- (201) 445-4808
Authorized Official
- Name
- DR. WARREN BOARDMAN, DMD
- Title
- DENTIST
- Phone
- (201) 445-1060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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