Organization
KOGGAN & LUSTIG DENTISTRY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY HOWARD LUSTIG D.M.D. (OWNER)
(732) 356-1651
Entity
Organization
Contact information
Practice address
107 HAMILTON ST, BOUND BROOK, NJ 08805-2016
(732) 356-1651
(732) 271-1073
Mailing address
107 HAMILTON ST, BOUND BROOK, NJ 08805-2016
(732) 356-1651
(732) 271-1073
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01148000
NJ
Other
Enumeration date
02/28/2007
Last updated
08/22/2020
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