Individual
BENJAMIN DYLAN GOLUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 BLUEBERRY DR, WOODCLIFF LAKE, NJ 07677-8106
(201) 543-9741
Mailing address
50 BLUEBERRY DRIVE, WOODCLIFF LAKE, NJ 07677
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DIO2894100
NJ
1223G0001X
General Practice Dentistry
22DIO2894101
NJ
Other
Enumeration date
04/03/2020
Last updated
01/12/2024
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