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Organization
BRIDGE ORAL-FACIAL SURGERY AND IMPLANT CENTER, LLC
Active
Organization
BRIDGE ORAL-FACIAL SURGERY AND IMPLANT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN F BOVINO DMD (PARTNER)
(201) 585-9800
Entity
Organization
Contact information
Practice address
2029 LEMOINE AVE, SUITE 103, FORT LEE, NJ 07024-5704
(201) 585-9800
(201) 585-9820
Mailing address
2029 LEMOINE AVE, SUITE 103, FORT LEE, NJ 07024-5704
(201) 585-9800
(201) 585-9820
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
015109
NJ
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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