Organization
CENTER FOR DENTISTRY AT HUMC, FACULTY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BEALS D.D.S. (MANAGING DIRECTOR)
(201) 996-2734
Entity
Organization
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(201) 996-2734
(201) 996-2334
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(201) 996-2734
(201) 996-2334
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22D10100030
NJ
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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