| Aesthetic Dental Center Of Hackensack Llc | |
|
161 Main St Hackensack NJ 07601 | |
| (201) 488-8866 | |
| (201) 488-7663 |
| Full Name | Aesthetic Dental Center Of Hackensack Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 161 Main St, Hackensack, New Jersey |
| Authorized Official Name and Position | Daria Bagaeva (OFFICE MANAGER) |
| Authorized Official Contact | 9733616200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aesthetic Dental Center Of Hackensack Llc 163 Main St Ste A Hackensack NJ 07601-7124 Ph: (201) 488-8866 | Aesthetic Dental Center Of Hackensack Llc 161 Main St Hackensack NJ 07601 Ph: (201) 488-8866 |
| NPI Number | 1154574804 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 12/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154574804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (New Jersey) | Primary |
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