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Individual

VITA DAVYDOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
79 HUDSON ST STE 201, HOBOKEN, NJ 07030-5640
(551) 900-6202
Mailing address
79 HUDSON ST STE 201, HOBOKEN, NJ 07030-5640

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI03117600
NJ

Other

Enumeration date
11/25/2025
Last updated
06/11/2026
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