| NPI | 1679919252 |
|---|---|
| Doing Business As | BERGENLINE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | PETER FUENTES Owner 973-225-9975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22907) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |