# HAWORTH DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Haworth Dental LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639555378
- **Authorized official:** DR. TAL J LEBEL D.M.D (DENTIST/OWNER)
- **Authorized official phone:** (201) 384-1717

## Contact information

- **Practice address:** 141 TERRACE ST, HAWORTH, NJ 07641-1835
- **Practice address phone:** (201) 384-1717
- **Practice address fax:** (201) 384-1793
- **Mailing address:** 141 TERRACE ST, HAWORTH, NJ 07641-1835
- **Mailing address phone:** (201) 384-1717
- **Mailing address fax:** (201) 384-1793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI02497900 | NJ | Yes |

## Other

- **Enumeration date:** 08/05/2015
- **Last updated:** 08/05/2015