Organization
FLANDERS PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD M. SONNENBERG DDS (PRESIDENT)
(973) 927-2260
Entity
Organization
Contact information
Practice address
230 ROUTE 206, FLANDERS, NJ 07836-9262
(973) 927-2260
(973) 927-8356
Mailing address
230 ROUTE 206, FLANDERS, NJ 07836-9189
(973) 927-2260
(973) 927-8356
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI01065800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033205
—
NJ
Enumeration date
06/13/2006
Last updated
08/22/2020
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