Organization
BEN S GREENBERG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN S GREENBERG (OWNER)
(201) 487-3361
Entity
Organization
Contact information
Practice address
114 E MAIN ST, BOGOTA, NJ 07603-1310
(201) 487-3361
(201) 487-6163
Mailing address
114 E MAIN ST, BOGOTA, NJ 07603-1310
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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