Bardash, Etan
Bardash, Etan is an sole proprietor health care provider with primary practice located at 10-06 Saddle River Rd , Fair Lawn NJ 07410-5732. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Bardash, Etan can be contacted via phone (201) 797-1555.Contact Information
Primary practice address
10-06 Saddle River Rd
Fair Lawn NJ 07410-5732
Phone: (201) 797-1555
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Dental Providers / General Practice | 1223G0001X | 22DI02869500 | New Jersey |
Profile Details
NPI number | 1649851569 |
---|---|
LBN Legal business name | Bardash, Etan |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 21st, 2021 |
Last updated | Jul 18th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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