Provider Demographics
NPI:1265731020
Name:BESTANDJI, NESRINE (DMD)
Entity type:Individual
Prefix:DR
First Name:NESRINE
Middle Name:
Last Name:BESTANDJI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1044 MADISON HILL RD
Mailing Address - Street 2:
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-3244
Mailing Address - Country:US
Mailing Address - Phone:732-396-1504
Mailing Address - Fax:
Practice Address - Street 1:100 CANAL POINTE BLVD STE 116
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-7123
Practice Address - Country:US
Practice Address - Phone:609-452-8630
Practice Address - Fax:609-452-1688
Is Sole Proprietor?:No
Enumeration Date:2011-03-19
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02466900122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist