Peak Family Dentistry, LLC
Clinic/Center, Dental in Hackensack, NJ. Organization (NPI-2).
NPI number1194357533
StatusActive
Last updated in NPPESFeb 4, 2020
Details
- NPI
- 1194357533
- Entity type
- Organization (NPI-2)
- Legal business name
- Peak Family Dentistry, LLC
- Organization subpart
- No
- Enumeration date
- Feb 4, 2020
- Certification date
- Feb 4, 2020
- Last updated
- Feb 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
261 Summit AveHackensack, NJ 07601-1431
Phone 201-487-4008
Mailing address
261 Summit AveHackensack, NJ 07601-1431
Phone 201-487-4008
Authorized official
Lance A Vicente
Owner
2014874008
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