# RIDGEWOOD DENTAL GROUP LLC

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

## Provider details

- **NPI number:** 1992981062
- **Authorized official:** DR. WARREN BOARDMAN DMD (DENTIST)
- **Authorized official phone:** (201) 445-1060

## Contact information

- **Practice address:** 75 CHESTNUT ST, RIDGEWOOD, NJ 07450-2501
- **Practice address phone:** (201) 445-4808
- **Practice address fax:** (201) 445-2040
- **Mailing address:** 75 CHESTNUT ST, RIDGEWOOD, NJ 07450-2501
- **Mailing address phone:** (201) 445-4808
- **Mailing address fax:** (201) 445-2040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2008
- **Last updated:** 10/03/2013