Organization
MOUNTAIN LAKES PREMIER DENTAL , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NESRINE BESTANDJI D.M.D. (OWNER DENTIST)
(973) 263-2770
Entity
Organization
Contact information
Practice address
420 BOULEVARD, SUITE#102, MOUNTAIN LAKES, NJ 07046-1742
(973) 263-2770
(973) 263-1291
Mailing address
420 BOULEVARD, SUITE#102, MOUNTAIN LAKES, NJ 07046-1742
(973) 263-2770
(973) 263-1291
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02456600
NJ
122300000X
Dentist
Primary
22DI02466900
NJ
Other
Enumeration date
03/15/2014
Last updated
06/04/2015
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