# ADRIANA MENDIETTA-SAEBOE DDS PA

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

## Provider details

- **NPI number:** 1497920185
- **Authorized official:** DR. ADRIANA M. SAEBOE D.D.S. (PRESIDENT)
- **Authorized official phone:** (201) 343-1010

## Contact information

- **Practice address:** 283 SUMMIT AVE., HACKENSACK, NJ 07601-1431
- **Practice address phone:** (201) 343-1010
- **Practice address fax:** (201) 343-1038
- **Mailing address:** 283 SUMMIT AVE, HACKENSACK, NJ 07601-1431
- **Mailing address phone:** (201) 615-7539
- **Mailing address fax:** (201) 336-0205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DI018938 | NJ | Yes |

## Other

- **Enumeration date:** 04/24/2008
- **Last updated:** 08/27/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0005239265 | AETNA | NJ |
| 01 | — | 8942 | DELTA DENTAL | NJ |