# JUAN C. ALONSO,DMD

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

## Provider details

- **NPI number:** 1750503488
- **Authorized official:** DR. JUAN C. ALONSO D.M.D. (OWNER)
- **Authorized official phone:** (201) 854-7900

## Contact information

- **Practice address:** 8321 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4245
- **Practice address phone:** (201) 854-7900
- **Practice address fax:** (201) 854-7885
- **Mailing address:** 8321 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4245
- **Mailing address phone:** (201) 854-7900
- **Mailing address fax:** (201) 854-7885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DI14757 | NJ | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 08/22/2020