# HIDEMI TAKEZAWA DDS

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

## Provider details

- **NPI number:** 1720478118
- **Authorized official:** HIDEMI TAKEZAWA (OWNER)
- **Authorized official phone:** (201) 225-2545

## Contact information

- **Practice address:** 692 TRENTON ST, NEW MILFORD, NJ 07646-2931
- **Practice address phone:** (201) 225-2545
- **Mailing address:** 692 TRENTON ST, NEW MILFORD, NJ 07646-2931
- **Mailing address phone:** (201) 225-2545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI02521300 | NJ | Yes |

## Other

- **Enumeration date:** 01/23/2015
- **Last updated:** 01/23/2015