Organization
HIDEMI TAKEZAWA DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HIDEMI TAKEZAWA (OWNER)
(201) 225-2545
Entity
Organization
Contact information
Practice address
692 TRENTON ST, NEW MILFORD, NJ 07646-2931
(201) 225-2545
Mailing address
692 TRENTON ST, NEW MILFORD, NJ 07646-2931
(201) 225-2545
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02521300
NJ
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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