| United Dental Group | |
|
946 Main St Hackensack NJ 07601-5136 | |
| (201) 464-4783 | |
| (844) 631-0047 |
| Full Name | United Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 946 Main St, Hackensack, New Jersey |
| Authorized Official Name and Position | George Xenakis (OWNER) |
| Authorized Official Contact | 2126430927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| United Dental Group 946 Main St Hackensack NJ 07601-5136 Ph: (201) 464-4783 | United Dental Group 946 Main St Hackensack NJ 07601-5136 Ph: (201) 464-4783 |
| NPI Number | 1760830293 |
|---|---|
| Provider Enumeration Date | 05/25/2016 |
| Last Update Date | 05/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760830293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22DI01715600 (New Jersey) | Primary |
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