| NPI | 1952973943 |
|---|---|
| Doing Business As | HACKENSACK DENTIST |
| Entity Type | Organization |
| Authorized Contact | SAHBA AZAR CFO 973-953-5177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-07-11 |
| Last Update Date | 2021-07-11 |