Individual
ANATOLY BENSIANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
515 N WOOD AVE STE 102, LINDEN, NJ 07036-4173
(908) 486-5000
(908) 486-5006
Mailing address
515 N WOOD AVE STE 102, LINDEN, NJ 07036-4173
(908) 486-5000
(908) 486-5006
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21791
NJ
Other
Enumeration date
09/22/2006
Last updated
10/02/2015
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