Organization
M&N DENTAL OF FORT LEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRINA KAZBANOV DMD (PRESIDENT)
(201) 585-0500
Entity
Organization
Contact information
Practice address
2500 LEMOINE AVE FL 4, SUITE 401, FORT LEE, NJ 07024-6232
(201) 585-0500
(201) 585-0522
Mailing address
2500 LEMOINE AVE FL 4, SUITE 401, FORT LEE, NJ 07024-6232
(201) 585-0500
(201) 585-0522
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI02479500
NJ
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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