# MARK C LOSCHIAVO DMD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093916876
- **Authorized official:** DR. MARK C LOSCHIAVO DMD (PRESIDENT)
- **Authorized official phone:** (201) 342-6454

## Contact information

- **Practice address:** 920 MAIN STREET, HACKENSACK, NJ 07601-5017
- **Practice address phone:** (201) 342-6454
- **Mailing address:** 920 MAIN STREET, HACKENSACK, NJ 07601-5017
- **Mailing address phone:** (201) 342-6454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI01796400 | NJ | Yes |

## Other

- **Enumeration date:** 05/30/2007
- **Last updated:** 08/22/2020