Organization
SOUTH BERGEN ORAL MAXILLOFACIAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESHANSH ARORA (MEMBER)
(201) 935-4577
Entity
Organization
Contact information
Practice address
422 STUYVESANT AVE, 1ST FLOOR, LYNDHURST, NJ 07071-2326
(201) 935-4577
Mailing address
422 STUYVESANT AVE, 1ST FLOOR, LYNDHURST, NJ 07071-2326
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI02285405
NJ
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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