Organization
PARAMUS DENTIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID HANNA DMD (PROVIDER)
(551) 200-1939
Entity
Organization
Contact information
Practice address
122 E RIDGEWOOD AVE, PARAMUS, NJ 07652-4038
(201) 345-3898
(201) 345-3898
Mailing address
122 E RIDGEWOOD AVE, PARAMUS, NJ 07652-4038
(201) 345-3898
(201) 345-3898
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22DI02759600
STATE LICENSE
NJ
Enumeration date
02/02/2023
Last updated
02/02/2023
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