Organization
BLVD ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORDECHAI FRIED DMD (OWNER/ DENTIST)
(516) 850-4045
Entity
Organization
Contact information
Practice address
500 BOULEVARD OF THE AMERICAS, STE 105, LAKEWOOD, NJ 08701
(848) 228-2583
Mailing address
500 BOULEVARD OF THE AMERICAS, SUITE 105, LAKEWOOD, NJ 08701
(848) 228-2583
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
11/17/2025
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