Organization
BAYONNE FAMILY DENTAL
Active
Other names
North Bergen Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER FUENTES DMD (OWNER)
(201) 858-3800
Entity
Organization
Contact information
Practice address
1216 KENNEDY BLVD, BAYONNE, NJ 07002-2208
(201) 858-3800
Mailing address
1216 KENNEDY BLVD, BAYONNE, NJ 07002-2208
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22907
NJ
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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