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General NPI Number Information
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NPI Number | 1366324725
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Entity Type | Organization
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Legal Business Name | BRIGHTSIDE DENTAL OF ELMWOOD PARK
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 248 PALSA AVE
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City | ELMWOOD PARK
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State | NJ
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Zip | 07407-1919
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Country | US
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Telephone | 201-796-9122
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Fax |
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Provider Business Mailing Address
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Address Line | 31 KNOX AVE
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City | CLIFFSIDE PARK
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State | NJ
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Zip | 07010-3101
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Country | US
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Telephone | 321-616-9990
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Fax |
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Authorized Official
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Title or Position | PARTNER DENTIST
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Name | ANTONY ZENG
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Credential | DDS
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Telephone | 321-616-9990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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