Aesthetic Dental Center of Hackensack LLC
NPI #1154574804 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1154574804
- Entity Type
- Organization
- Organization Name
- Aesthetic Dental Center of Hackensack LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 28, 2008
- Last Updated
- Dec 4, 2019
Practice Location
- Address
- 161 MAIN ST
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601
- Phone
- (201) 488-8866
Authorized Official
- Name
- DARIA BAGAEVA
- Title
- OFFICE MANAGER
- Phone
- (973) 361-6200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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