Individual
DR. ELLIOT H BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1355-15 STREET, FORT LEE, NJ 07024
(201) 585-8585
(201) 585-5032
Mailing address
66 CHESTNUT RIDGE RD, SADDLE RIVER, NJ 07458-3123
(201) 327-3816
(201) 585-5032
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22D101026900
NJ
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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