| Hudson Dental Esthetics Pc | |
|
5300 Bergenline Ave Suite 8 West New York NJ 07093-5616 | |
| (201) 865-7750 | |
| (201) 865-3299 |
| Full Name | Hudson Dental Esthetics Pc |
|---|---|
| Speciality | Dentist |
| Location | 5300 Bergenline Ave, West New York, New Jersey |
| Authorized Official Name and Position | Michael Nourbakhsh (OWNER) |
| Authorized Official Contact | 2018657750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hudson Dental Esthetics Pc 5300 Bergenline Ave West New York NJ 07093-5616 Ph: (201) 865-7750 | Hudson Dental Esthetics Pc 5300 Bergenline Ave Suite 8 West New York NJ 07093-5616 Ph: (201) 865-7750 |
| NPI Number | 1255413506 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255413506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI01924600 (New Jersey) | Primary |
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