Organization
BERKELEY PERIODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN MALDONADO JR. DMD (OWNER)
(908) 464-5630
Entity
Organization
Contact information
Practice address
576 SPRINGFIELD AVE, BERKELEY HEIGHTS, NJ 07922-1055
(908) 464-5630
(908) 464-6297
Mailing address
576 SPRINGFIELD AVE, BERKELEY HEIGHTS, NJ 07922-1055
(908) 464-5630
(908) 464-6297
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DI19327
NJ
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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