Mark C Loschiavo Dmd PA

NPI #1093916876 in Hackensack, New Jersey

Provider Information

NPI Number: 1093916876
Entity Type: Organization
Organization Name: Mark C Loschiavo Dmd PA
Primary Specialty: Dentist
Enumeration Date: May 30, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 920 MAIN STREET
City: Hackensack
State: New Jersey
ZIP Code: 07601-5017
Phone: (201) 342-6454

Authorized Official

Name: DR. MARK C LOSCHIAVO, DMD
Title: PRESIDENT
Phone: (201) 342-6454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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