# QUANTUM DENTAL GROUP LLC

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

## Provider details

- **NPI number:** 1760777585
- **Authorized official:** DR. LEON GREENBERG DDS (MEMBER)
- **Authorized official phone:** (201) 254-0322

## Contact information

- **Practice address:** 421 59TH ST, WEST NEW YORK, NJ 07093-2107
- **Practice address phone:** (201) 254-0322
- **Practice address fax:** (201) 254-0326
- **Mailing address:** 421 59TH ST, WEST NEW YORK, NJ 07093-2107
- **Mailing address phone:** (201) 254-0322
- **Mailing address fax:** (201) 254-0326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI02125200 | NJ | Yes |

## Other

- **Enumeration date:** 06/09/2011
- **Last updated:** 01/12/2016