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General NPI Number Information
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NPI Number | 1750503959
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Entity Type | Organization
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Legal Business Name | SAUL H. LEJTMAN D.M.D., P.A.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 120 COUNTY RD SUITE 203
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City | TENAFLY
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State | NJ
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Zip | 07670-1854
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Country | US
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Telephone | 201-568-1190
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Fax |
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Provider Business Mailing Address
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Address Line | 120 COUNTY RD SUITE 203
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City | TENAFLY
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State | NJ
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Zip | 07670-1854
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Country | US
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Telephone | 201-568-1190
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAUL LEJTMAN
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Credential | DMD
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Telephone | 201-568-1190
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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 | DI017945
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License Number State | NJ
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