# MONTCLAIR DIGITAL DENTAL

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

## Provider details

- **NPI number:** 1598262461
- **Authorized official:** HOWARD BABUSHKIN (OWNER)
- **Authorized official phone:** (973) 655-1919

## Contact information

- **Practice address:** 39 S FULLERTON AVE FL 2, MONTCLAIR, NJ 07042-6303
- **Practice address phone:** (973) 655-1919
- **Mailing address:** 39 S FULLERTON AVE FL 2, MONTCLAIR, NJ 07042-6303
- **Mailing address phone:** (973) 655-1919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/09/2018
- **Last updated:** 04/09/2018