Individual
DR. BONNIE BERMAN HENICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
314 FORT LEE RD, LEONIA, NJ 07605-1813
(201) 585-8555
Mailing address
314 FORT LEE RD, LEONIA, NJ 07605-1813
(201) 585-8555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22D101387600
NJ
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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