Individual
EKTA SEM BHOGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
500 S RIVER ST, HACKENSACK, NJ 07601-6651
(201) 641-6240
Mailing address
99 GORGE RD APT 2304, EDGEWATER, NJ 07020-1730
(610) 888-2558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI02691400
NJ
Other
Enumeration date
10/01/2017
Last updated
10/01/2017
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