Organization
CENTER FOR DENTISTRY AT HUMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BEALS DDS (MNG. DIRECTOR, CENTER FOR DENTISTRY)
(201) 996-5674
Entity
Organization
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(201) 996-2111
(201) 996-2334
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(201) 996-2111
(201) 996-2434
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137456
—
NJ
Enumeration date
04/25/2008
Last updated
04/25/2008
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