Designing Smiles Igen Dental LLC
NPI #1124617030 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1124617030
- Entity Type
- Organization
- Organization Name
- Designing Smiles Igen Dental LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 14, 2021
- Last Updated
- Jan 14, 2021
Practice Location
- Address
- 121 ELM AVE
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601-3739
- Phone
- (201) 342-3482
Authorized Official
- Name
- DR. JUDITH MAMAH, DMD
- Title
- PRESIDENT
- Phone
- (201) 960-0624
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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