Provider Demographics
NPI:1396819033
Name:GALFUND, MATTHEW LAWRENCE (DDS)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:LAWRENCE
Last Name:GALFUND
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 BROAD STREET
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07648
Mailing Address - Country:US
Mailing Address - Phone:201-768-5697
Mailing Address - Fax:201-768-6977
Practice Address - Street 1:11 BROAD STREET
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07648
Practice Address - Country:US
Practice Address - Phone:201-768-5697
Practice Address - Fax:201-768-6977
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0199541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice