Individual
DR. MARK A RAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
645 MAIN ST, HACKENSACK, NJ 07601-4712
(201) 488-8300
Mailing address
645 MAIN ST, HACKENSACK, NJ 07601-4712
(201) 488-8300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI00920200
NJ
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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