Organization
DESIGNING SMILES IGEN DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH MAMAH DMD (PRESIDENT)
(201) 960-0624
Entity
Organization
Contact information
Practice address
121 ELM AVE, HACKENSACK, NJ 07601-3739
(201) 342-3482
(201) 343-4304
Mailing address
121 ELM AVE, HACKENSACK, NJ 07601-3739
(201) 960-0624
(201) 343-4304
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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