Organization
MARK R BYDALEK DMD LLC
Active
Other names
Mark R Bydalek DMD
Organization subpart
No
Provider details
NPI number
Authorized official
MARK R BYDALEK DMD (PRESIDENT)
(609) 397-8833
Entity
Organization
Contact information
Practice address
528 ROSEMONT RINGOES RD, SERGEANTSVILLE, NJ 08557
(609) 397-8833
(609) 397-0362
Mailing address
PO BOX 273, 528 ROSEMONT BIN GOES RD, SERGEANTSVILLE, NJ 08557
(609) 397-8833
(609) 397-0362
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DI16937
DELTA DENTAL OF NJ
NJ
Enumeration date
10/03/2006
Last updated
08/22/2020
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