Organization
LYNDHURST PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL NEIMAN DDS (OWNER)
(201) 460-3431
Entity
Organization
Contact information
Practice address
710 RIDGE RD, LYNDHURST, NJ 07071-3224
(201) 460-3431
(201) 507-9540
Mailing address
710 RIDGE RD, LYNDHURST, NJ 07071-3224
(201) 460-3431
(201) 507-9540
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22D102310600
NJ
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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