Mark C Loschiavo Dmd Pa | |
920 Main Street Hackensack NJ 07601-5017 | |
(201) 342-6454 | |
Not Available |
Full Name | Mark C Loschiavo Dmd Pa |
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Speciality | Dentist |
Location | 920 Main Street, Hackensack, New Jersey |
Authorized Official Name and Position | Mark C Loschiavo (PRESIDENT) |
Authorized Official Contact | 2013426454 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mark C Loschiavo Dmd Pa 920 Main Street Hackensack NJ 07601-5017 Ph: (201) 342-6454 | Mark C Loschiavo Dmd Pa 920 Main Street Hackensack NJ 07601-5017 Ph: (201) 342-6454 |
NPI Number | 1093916876 |
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Provider Enumeration Date | 05/30/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1093916876 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 22DI01796400 (New Jersey) | Primary |
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