Organization
HUDSON DENTAL ESTHETICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL NOURBAKHSH D,D,S (OWNER)
(201) 865-7750
Entity
Organization
Contact information
Practice address
5300 BERGENLINE AVE, SUITE 8, WEST NEW YORK, NJ 07093-5616
(201) 865-7750
(201) 865-3299
Mailing address
5300 BERGENLINE AVE, WEST NEW YORK, NJ 07093-5616
(201) 865-7750
(201) 865-3299
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01924600
NJ
Other
Enumeration date
10/19/2006
Last updated
08/22/2020
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