Individual
LORI A. VANDERWENDE-BLEEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
504 HAMBURG TPKE, STE 204, WAYNE, NJ 07470-2034
(973) 595-8700
(973) 595-0688
Mailing address
504 HAMBURG TPKE, STE 204, WAYNE, NJ 07470-2034
(973) 595-8700
(973) 595-0688
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20059
NJ
Other
Enumeration date
10/18/2006
Last updated
07/23/2024
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