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Organization
CENTER FOR DENTISTRY AT HUMC
Active
Organization
CENTER FOR DENTISTRY AT HUMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BEALS DDS (MNG. DIRECTOR, CENTER FOR DENTISTRY)
(201) 996-5674
Entity
Organization
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(201) 996-2111
(201) 996-2334
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(201) 996-2111
(201) 996-2434
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137456
—
NJ
Enumeration date
04/25/2008
Last updated
04/25/2008
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