Organization
MARK C LOSCHIAVO DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK C LOSCHIAVO DMD (PRESIDENT)
(201) 342-6454
Entity
Organization
Contact information
Practice address
920 MAIN STREET, HACKENSACK, NJ 07601-5017
(201) 342-6454
Mailing address
920 MAIN STREET, HACKENSACK, NJ 07601-5017
(201) 342-6454
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01796400
NJ
Other
Enumeration date
05/30/2007
Last updated
08/22/2020
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