Individual
SUDIPTA SAXENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
248 1ST ST, HACKENSACK, NJ 07601-3411
(201) 883-1886
Mailing address
110 BEVERLY RD, ORADELL, NJ 07649-2630
(201) 262-6387
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22D102305300
NJ
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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