# KOGGAN & LUSTIG DENTISTRY, P.A.

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

## Provider details

- **NPI number:** 1851428478
- **Authorized official:** DR. BARRY HOWARD LUSTIG D.M.D. (OWNER)
- **Authorized official phone:** (732) 356-1651

## Contact information

- **Practice address:** 107 HAMILTON ST, BOUND BROOK, NJ 08805-2016
- **Practice address phone:** (732) 356-1651
- **Practice address fax:** (732) 271-1073
- **Mailing address:** 107 HAMILTON ST, BOUND BROOK, NJ 08805-2016
- **Mailing address phone:** (732) 356-1651
- **Mailing address fax:** (732) 271-1073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI01148000 | NJ | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 08/22/2020