# CANAL VISTA FAMILY DENTAL, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1780115220
- **Authorized official:** DR. NESRINE BESTANDJI (MEMBER)
- **Authorized official phone:** (908) 400-2954

## Contact information

- **Practice address:** 100 CANAL POINTE BLVD, SUITE 116, PRINCETON, NJ 08540-7063
- **Practice address phone:** (609) 452-8630
- **Practice address fax:** (609) 452-1688
- **Mailing address:** 100 CANAL POINTE BLVD, SUITE 116, PRINCETON, NJ 08540-7063
- **Mailing address phone:** (609) 452-8630
- **Mailing address fax:** (609) 452-1688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI02466900 | NJ | Yes |

## Other

- **Enumeration date:** 03/26/2017
- **Last updated:** 03/26/2017