Organization
MONTCLAIR DIGITAL DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD BABUSHKIN (OWNER)
(973) 655-1919
Entity
Organization
Contact information
Practice address
39 S FULLERTON AVE FL 2, MONTCLAIR, NJ 07042-6303
(973) 655-1919
Mailing address
39 S FULLERTON AVE FL 2, MONTCLAIR, NJ 07042-6303
(973) 655-1919
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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