# HUDSON DENTAL ESTHETICS PC

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

## Provider details

- **NPI number:** 1255413506
- **Authorized official:** DR. MICHAEL NOURBAKHSH D,D,S (OWNER)
- **Authorized official phone:** (201) 865-7750

## Contact information

- **Practice address:** 5300 BERGENLINE AVE, SUITE 8, WEST NEW YORK, NJ 07093-5616
- **Practice address phone:** (201) 865-7750
- **Practice address fax:** (201) 865-3299
- **Mailing address:** 5300 BERGENLINE AVE, WEST NEW YORK, NJ 07093-5616
- **Mailing address phone:** (201) 865-7750
- **Mailing address fax:** (201) 865-3299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI01924600 | NJ | Yes |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 08/22/2020