# NERISSA D. PASCUAL, DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hackensack Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053520957
- **Authorized official:** DR. NERISSA DOMINGO PASCUAL DDS (OWNER)
- **Authorized official phone:** (201) 488-8456

## Contact information

- **Practice address:** 360 GOLF PL, HACKENSACK, NJ 07601-2502
- **Practice address phone:** (201) 488-8456
- **Practice address fax:** (201) 488-4134
- **Mailing address:** 360 GOLF PL, HACKENSACK, NJ 07601-2502
- **Mailing address phone:** (201) 488-8456
- **Mailing address fax:** (201) 488-4134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DI01867200 | NJ | Yes |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 09/20/2007