Organization
BERGENFIELD DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EHAB TANIOS SHAHID D.M.D. (PRESIDENT)
(201) 384-0100
Entity
Organization
Contact information
Practice address
29 W CHURCH ST, BERGENFIELD, NJ 07621-1703
(201) 384-0100
(201) 384-3558
Mailing address
29 W CHURCH ST, BERGENFIELD, NJ 07621-1703
(201) 384-0100
(201) 384-3558
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI17120
NJ
Other
Enumeration date
04/13/2007
Last updated
09/16/2008
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