# GARDEN STATE DENTAL P.C.

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

## Provider details

- **NPI number:** 1730731647
- **Authorized official:** VICTORIA KUSHENSKY DDS (OWNER / AO)
- **Authorized official phone:** (201) 298-8000

## Contact information

- **Practice address:** 385 PROSPECT AVE STE 304, HACKENSACK, NJ 07601-2570
- **Practice address phone:** (201) 298-8000
- **Practice address fax:** (719) 823-6996
- **Mailing address:** 385 PROSPECT AVE STE 304, HACKENSACK, NJ 07601-2570
- **Mailing address phone:** (201) 298-8000
- **Mailing address fax:** (719) 823-6996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2019
- **Last updated:** 07/10/2019