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15 Anderson St Hackensack NJ 07601-4508 | |
| (201) 546-7435 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 15 Anderson St, Hackensack, New Jersey |
| Authorized Official Name and Position | Mohammed Ibrehim El-samna (PARTNER) |
| Authorized Official Contact | 2015467435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
15 Anderson St Hackensack NJ 07601-4508 Ph: (201) 546-7435 | 15 Anderson St Hackensack NJ 07601-4508 Ph: (201) 546-7435 |
| NPI Number | 1558903955 |
|---|---|
| Provider Enumeration Date | 10/17/2019 |
| Last Update Date | 12/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558903955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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