Organization
PERIODONTICS & IMPLANT CENTER
Active
Parent organization
PERIODONTICS & IMPLANT CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
PERIODONTICS & IMPLANT CENTER
Authorized official
KIM YACONO (OFFICE MANAGER)
(201) 375-3080
Entity
Organization
Contact information
Practice address
1216 WASHINGTON ST, HOBOKEN, NJ 07030-5453
(201) 375-3080
(201) 630-0868
Mailing address
1216 WASHINGTON ST, HOBOKEN, NJ 07030-5453
(201) 375-3080
(201) 630-0868
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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