# VEENSTRA FAMILY DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154872331
- **Authorized official:** DR. ERIC VEENSTRA D.M.D. (PARTNER)
- **Authorized official phone:** (201) 790-6003

## Contact information

- **Practice address:** 44 GODWIN AVE, SUITE 200, MIDLAND PARK, NJ 07432-1969
- **Practice address phone:** (201) 447-0300
- **Mailing address:** 44 GODWIN AVE, SUITE 200, MIDLAND PARK, NJ 07432-1969
- **Mailing address phone:** (201) 447-0300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DI23501 | NJ | Yes |

## Other

- **Enumeration date:** 10/22/2016
- **Last updated:** 10/22/2016