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Organization
CENTER FOR DENTISTRY AT HUMC, FACULTY PRACTICE LLC
Active
Organization
CENTER FOR DENTISTRY AT HUMC, FACULTY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BEALS D.D.S. (MANAGING DIRECTOR)
(201) 996-2734
Entity
Organization
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(201) 996-2734
(201) 996-2334
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(201) 996-2734
(201) 996-2334
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22D10100030
NJ
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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