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Organization
AESTHETIC DENTAL CENTER OF HACKENSACK LLC
Active
Organization
AESTHETIC DENTAL CENTER OF HACKENSACK LLC
Active
Other names
Pangborn Dental Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DARIA BAGAEVA (OFFICE MANAGER)
(973) 361-6200
Entity
Organization
Contact information
Practice address
161 MAIN ST, HACKENSACK, NJ 07601
(201) 488-8866
(201) 488-7663
Mailing address
163 MAIN ST STE A, HACKENSACK, NJ 07601-7124
(201) 488-8866
(201) 488-7663
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NJ
Other
Enumeration date
10/28/2008
Last updated
12/04/2019
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