# BERGEN PROSTHODONTICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MONTVALE PROSTHODONTICS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043088396
- **Authorized official:** DR. SUNG EUN KIM DMD, MMSC (CEO/DENTIST)
- **Authorized official phone:** (201) 582-2264

## Contact information

- **Practice address:** 102 CHESTNUT RIDGE RD STE 201, MONTVALE, NJ 07645-1856
- **Practice address phone:** (201) 582-2264
- **Mailing address:** 22 GARNET DR, WOODLAND PARK, NJ 07424-4215
- **Mailing address phone:** (201) 988-5633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | — | NULL | Yes |
| 1223P0700X | Prosthodontics | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2023
- **Last updated:** 12/15/2023