Organization
NATIVE DENTAL LLC
Active
Other names
Native Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA HAGAN (OWNER/DENTIST)
(201) 484-5483
Entity
Organization
Contact information
Practice address
3043 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07306-3605
(201) 484-5483
Mailing address
3043 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07306-3605
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
06/26/2025
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