# BERGEN PERIODONTIC ASSOC LLC

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

## Provider details

- **NPI number:** 1972665875
- **Authorized official:** DR. LIANA BASCEANU DDS (OWNER)
- **Authorized official phone:** (201) 666-2330

## Contact information

- **Practice address:** 333 OLD HOOK ROAD, SUITE 104, WESTWOOD, NJ 07675
- **Practice address phone:** (201) 666-2330
- **Practice address fax:** (201) 666-5043
- **Mailing address:** 333 OLD HOOK ROAD, SUITE 104, WESTWOOD, NJ 07675
- **Mailing address phone:** (201) 666-2330
- **Mailing address fax:** (201) 666-5043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NJ | Yes |
| 1223P0300X | Periodontics | 22DIO842600 | NJ | — |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 09/11/2025