NPI | 1023699444 |
---|---|
Doing Business As | BERGEN DENTAL STUDIO |
Entity Type | Organization |
Authorized Contact | JIMMY CHAE Owner 201-945-1094 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-04-16 |
Last Update Date | 2021-04-16 |