| Hackensack Family Dentistry | |
|
360 Golf Pl Hackensack NJ 07601-2502 | |
| (201) 488-8456 | |
| (201) 488-4134 |
| Full Name | Hackensack Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 360 Golf Pl, Hackensack, New Jersey |
| Authorized Official Name and Position | Nerissa Domingo Pascual (OWNER) |
| Authorized Official Contact | 2014888456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hackensack Family Dentistry 360 Golf Pl Hackensack NJ 07601-2502 Ph: (201) 488-8456 | Hackensack Family Dentistry 360 Golf Pl Hackensack NJ 07601-2502 Ph: (201) 488-8456 |
| NPI Number | 1053520957 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 09/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053520957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DI01867200 (New Jersey) | Primary |
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