# MONTGOMERY GREENE DENTAL

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

## Provider details

- **NPI number:** 1376797068
- **Authorized official:** DR. LANA BUNIS DDS (OWNER)
- **Authorized official phone:** (201) 204-0737

## Contact information

- **Practice address:** 105 GREENE ST, SUITE 1B, JERSEY CITY, NJ 07302-3848
- **Practice address phone:** (201) 204-0737
- **Mailing address:** 105 GREENE ST, SUITE 1B, JERSEY CITY, NJ 07302-3848
- **Mailing address phone:** (201) 204-0737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI02203700 | NJ | — |
| 122300000X | Dentist | 22DI02264800 | NJ | Yes |

## Other

- **Enumeration date:** 11/08/2008
- **Last updated:** 11/08/2008