| Garden State Dental P.c. | |
|
385 Prospect Ave Ste 304 Hackensack NJ 07601-2570 | |
| (201) 298-8000 | |
| (719) 823-6996 |
| Full Name | Garden State Dental P.c. |
|---|---|
| Speciality | Dentist |
| Location | 385 Prospect Ave Ste 304, Hackensack, New Jersey |
| Authorized Official Name and Position | Victoria Kushensky (OWNER / AO) |
| Authorized Official Contact | 2012988000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Garden State Dental P.c. 385 Prospect Ave Ste 304 Hackensack NJ 07601-2570 Ph: (201) 298-8000 | Garden State Dental P.c. 385 Prospect Ave Ste 304 Hackensack NJ 07601-2570 Ph: (201) 298-8000 |
| NPI Number | 1730731647 |
|---|---|
| Provider Enumeration Date | 07/10/2019 |
| Last Update Date | 07/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730731647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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