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Organization
BERGEN SMILES DENTAL CLINIC, LLC
Active
Organization
BERGEN SMILES DENTAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIANY FARINAS-HAN DMD (DENTIST/ONWER)
(917) 790-9905
Entity
Organization
Contact information
Practice address
24 GODWIN AVE STE 102, MIDLAND PARK, NJ 07432-1962
(917) 790-9905
Mailing address
24 GODWIN AVE STE 102, MIDLAND PARK, NJ 07432-1962
(917) 790-9905
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
22DI02509100
NJ
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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