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Organization
BAYONNE FAMILY DENTAL
Active
Organization
BAYONNE FAMILY DENTAL
Active
Other names
North Bergen Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER FUENTES DMD (OWNER)
(201) 858-3800
Entity
Organization
Contact information
Practice address
1216 KENNEDY BLVD, BAYONNE, NJ 07002-2208
(201) 858-3800
Mailing address
1216 KENNEDY BLVD, BAYONNE, NJ 07002-2208
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22907
NJ
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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