| NPI | 1053520957 |
|---|---|
| Doing Business As | HACKENSACK FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | NERISSA DOMINGO PASCUAL Owner 201-488-8456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI01867200) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-09-20 |