Organization
AESTHETIC DENTAL CENTER OF HACKENSACK LLC
Active
Other names
Pangborn Dental Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DARIA BAGAEVA (OFFICE MANAGER)
(973) 361-6200
Entity
Organization
Contact information
Practice address
161 MAIN ST, HACKENSACK, NJ 07601
(201) 488-8866
(201) 488-7663
Mailing address
163 MAIN ST STE A, HACKENSACK, NJ 07601-7124
(201) 488-8866
(201) 488-7663
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NJ
Other
Enumeration date
10/28/2008
Last updated
12/04/2019
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