Organization
BERGEN HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKI SHABNAM MOSSADED DDS (PRESIDENT)
(201) 767-3666
Entity
Organization
Contact information
Practice address
539 DURIE AVE, CLOSTER, NJ 07624-2011
(201) 767-3666
(201) 767-6969
Mailing address
PO BOX 439, ALPINE, NJ 07620-0439
(201) 767-3666
(201) 767-6969
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI17749
NJ
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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