Organization
GALLERIA DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. POLINA BARENBAUM DDS (PARTNER)
(732) 462-5511
Entity
Organization
Contact information
Practice address
100 ROUTE 9, SUITE11, MANALAPAN, NJ 07726-3014
(732) 462-5511
(732) 462-5611
Mailing address
100 ROUTE 9, SUITE11, MANALAPAN, NJ 07726-3014
(732) 462-5511
(732) 462-5611
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02217200
NJ
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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