| Mark C Loschiavo DMD PA | |
|
920 Main Street Hackensack NJ 07601-5017 | |
| (201) 342-6454 | |
| Not Available |
| Full Name | Mark C Loschiavo DMD PA |
|---|---|
| Speciality | Dentist |
| Location | 920 Main Street, Hackensack, New Jersey |
| Authorized Official Name and Position | Mark C Loschiavo (PRESIDENT) |
| Authorized Official Contact | 2013426454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark C Loschiavo DMD PA 920 Main Street Hackensack NJ 07601-5017 Ph: (201) 342-6454 | Mark C Loschiavo DMD PA 920 Main Street Hackensack NJ 07601-5017 Ph: (201) 342-6454 |
| NPI Number | 1093916876 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093916876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI01796400 (New Jersey) | Primary |
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