# AMG DENTAL, LLC

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

## Provider details

- **NPI number:** 1972785079
- **Authorized official:** GALINA GOLDENBERG DDS (MANAGER)
- **Authorized official phone:** (732) 747-7711

## Contact information

- **Practice address:** 776 SHREWSBURY AVE, TINTON FALLS, NJ 07724-3006
- **Practice address phone:** (732) 747-7711
- **Practice address fax:** (732) 747-0782
- **Mailing address:** 776 SHREWSBURY AVE, TINTON FALLS, NJ 07724-3006
- **Mailing address phone:** (732) 747-7711
- **Mailing address fax:** (732) 747-0782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI02059700 | NJ | Yes |

## Other

- **Enumeration date:** 11/29/2007
- **Last updated:** 11/29/2007