Individual
DR. EVAN ROBERT LEBOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
19 LEGION DR, BERGENFIELD, NJ 07621-2314
(201) 384-2425
Mailing address
675 MONMOUTH ST APT 330, JERSEY CITY, NJ 07310-1322
(508) 308-9660
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02983000
NJ
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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