# BELLA DENTAL OF HOLMDELL, LLC

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

## Provider details

- **NPI number:** 1396218640
- **Authorized official:** ALEKSANDR I SHOR DMD (OWNER)
- **Authorized official phone:** (732) 614-5576

## Contact information

- **Practice address:** 668 N BEERS ST STE 203, HOLMDEL, NJ 07733-1511
- **Practice address phone:** (732) 614-5576
- **Mailing address:** 445 BRICK BLVD STE 307, BRICK, NJ 08723-6080
- **Mailing address phone:** (732) 477-1335
- **Mailing address fax:** (732) 920-5758

## Taxonomy

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

## Other

- **Enumeration date:** 01/09/2019
- **Last updated:** 01/09/2019