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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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