Organization
BERGEN ORTHODONTIC ASSOC., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN STANLEY LEVITT D.D.S. (PRESIDENT)
(201) 768-4121
Entity
Organization
Contact information
Practice address
500 PIERMONT RD, CLOSTER, NJ 07624-2845
(201) 768-4121
(201) 768-3495
Mailing address
500 PIERMONT RD, CLOSTER, NJ 07624-2845
(201) 768-4121
(201) 768-3495
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8033, 2174
NJ
Other
Enumeration date
04/10/2007
Last updated
02/27/2008
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