Organization
BERGEN ORAL SURGERY GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN M MOSS DMD (PRESIDENT)
(201) 343-8297
Entity
Organization
Contact information
Practice address
920 MAIN ST, HACKENSACK, NJ 07601-5017
(201) 343-8297
(201) 343-2535
Mailing address
920 MAIN ST, HACKENSACK, NJ 07601-5017
(201) 343-8297
(201) 343-2535
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI01524901
NJ
Other
Enumeration date
11/01/2006
Last updated
06/05/2013
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