Mondovi Dental of New Jersey - Bejarano PC
Mondovi Dental of New Jersey - Bejarano PC is a General Practice Dentistry in Kenilworth, New Jersey. Registered with an NPI since 2018.
- In the registry since
- 2018
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
513 BlvdKenilworth, NJ 07033-1637
Phone: (908) 276-6652
Fax: (908) 709-4337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1700365129 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Diane Brion-Martin — Credentialing Supervisor · (715) 598-2311 |
| NPI enumerated | August 7, 2018 |
| Last updated in NPPES | August 7, 2018 |
| Mailing address | Po Box 90, Mondovi, WI 54755-0090 |
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Dr. Jerome Scott Forman, DMD
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