Organization
COSMETIC & FAMILY DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEN M KERSHENBAUM D.M.D. (PRESIDENT)
(201) 797-2190
Entity
Organization
Contact information
Practice address
26-07 BROADWAY, SUITE 22, FAIR LAWN, NJ 07410-3832
(201) 797-2190
(201) 797-1929
Mailing address
26-07 BROADWAY, SUITE 22, FAIR LAWN, NJ 07410-3832
(201) 797-2190
(201) 797-1929
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16515
NJ
Other
Enumeration date
10/18/2006
Last updated
08/22/2020
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