Center For Dentistry At Humc, Faculty Practice Llc | |
30 Prospect Ave Hackensack NJ 07601-1914 | |
(201) 996-2734 | |
(201) 996-2334 |
Full Name | Center For Dentistry At Humc, Faculty Practice Llc |
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Speciality | Dentist - General Practice |
Location | 30 Prospect Ave, Hackensack, New Jersey |
Authorized Official Name and Position | Michael Beals (MANAGING DIRECTOR) |
Authorized Official Contact | 2019962734 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Center For Dentistry At Humc, Faculty Practice Llc 30 Prospect Ave Hackensack NJ 07601-1914 Ph: (201) 996-2734 | Center For Dentistry At Humc, Faculty Practice Llc 30 Prospect Ave Hackensack NJ 07601-1914 Ph: (201) 996-2734 |
NPI Number | 1740424431 |
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Provider Enumeration Date | 04/24/2009 |
Last Update Date | 04/24/2009 |
Identifier | Type | State | Issuer |
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1740424431 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 22D10100030 (New Jersey) | Primary |
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