Palisades Park Bo Orthodontics

NPI 1275912248 - Dentist - 1223X0400X

NPI Details
NPI 1275912248
Enumeration Date 05/23/2015
Last Updated 05/23/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name BO YOUNG BO
Position OWNER
Phone (201) 242-9300
Fax (201) 242-3361
Practice Location
309A BROAD AVE
PALISADES PARK NJ, 07650-1620, US
Phone (201) 242-9300
Fax (201) 242-3361
Business Location
309A BROAD AVE
PALISADES PARK NJ, 07650-1620, US
Phone (201) 242-9300
Fax (201) 242-3361
Toxanomy
Taxonomy Code 1223X0400X
License State New Jersey
License Number 22DI02404802
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According to our database, Palisades Park Bo Orthodontics NPI is 1275912248, taxonomy code is 1223X0400X and license number is 22DI02404802, license state is located at New Jersey. Palisades Park Bo Orthodontics physically located at 309a Broad Ave, Palisades Park NJ, 07650-1620. NPI Number 1033115704 has the healthcare provider type.

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1275912248 NPI number is provided on an as is basis without warranty of any kind. 1275912248 is maintained by the National Plan & Provider Enumeration System. The contents of Palisades Park Bo Orthodontics are for informational purposes only.