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General NPI Number Information
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NPI Number | 1467396986
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Entity Type | Organization
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Legal Business Name | BONGARZONE AND BURKE DENTAL
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 1350 CHEWS LANDING RD
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City | LAUREL SPRINGS
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State | NJ
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Zip | 08021
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Country | US
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Telephone | 856-270-6447
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Fax |
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Provider Business Mailing Address
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Address Line | 1508 RANDY LN
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City | CHERRY HILL
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State | NJ
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Zip | 08003
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Country | US
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Telephone | 848-228-1741
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. MARCO BONGARZONE JR.
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Credential | DMD
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Telephone | 848-228-1741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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