Organization
GHISALBERTI DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUCIANO GHISALBERTI DMD (DENTIST/OWNER)
(201) 854-1616
Entity
Organization
Contact information
Practice address
7918 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4120
(201) 854-1616
Mailing address
7918 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4120
(201) 854-1616
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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