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Organization

LAWRENCE M BODENSTEIN DMD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAWRENCE MICHAEL BODENSTEIN DMD (OWNER/DENTIST)
(201) 288-1788
Entity
Organization

Contact information

Practice address
253 BOULEVARD STE 1, HASBROUCK HEIGHTS, NJ 07604-1939
(201) 288-1788
(201) 288-1909
Mailing address
253 BOULEVARD STE 1, HASBROUCK HEIGHTS, NJ 07604-1939
(201) 288-1788
(201) 288-1909

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DI-015614
NJ

Other

Enumeration date
12/08/2014
Last updated
12/08/2014
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