# MY DENTIST FAIR LAWN PA

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

## Provider details

- **NPI number:** 1669106019
- **Authorized official:** ISAAC KLEINMAN DDS (PRESIDENT)
- **Authorized official phone:** (201) 791-2400

## Contact information

- **Practice address:** 5-21 SADDLE RIVER RD, FAIR LAWN, NJ 07410-5609
- **Practice address phone:** (201) 791-2400
- **Practice address fax:** (201) 791-1123
- **Mailing address:** 5-21 SADDLE RIVER RD, FAIR LAWN, NJ 07410-5609
- **Mailing address phone:** (201) 791-2400
- **Mailing address fax:** (201) 791-1123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2022
- **Last updated:** 07/12/2022