Nerissa D. Pascual, Dds Pa

NPI 1053520957 - Dentist - 1223G0001X

NPI Details
NPI 1053520957
Enumeration Date 05/21/2007
Last Updated 09/20/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name NERISSA DOMINGO NERISSA
Position OWNER
Phone (201) 488-8456
Fax (201) 488-4134
Practice Location
360 GOLF PL
HACKENSACK NJ, 07601-2502, US
Phone (201) 488-8456
Fax (201) 488-4134
Business Location
360 GOLF PL
HACKENSACK NJ, 07601-2502, US
Phone (201) 488-8456
Fax (201) 488-4134
Toxanomy
Taxonomy Code 1223G0001X
License State New Jersey
License Number DI01867200
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According to our database, Nerissa D. Pascual, Dds Pa NPI is 1053520957, taxonomy code is 1223G0001X and license number is DI01867200, license state is located at New Jersey. Nerissa D. Pascual, Dds Pa physically located at 360 Golf Pl, Hackensack NJ, 07601-2502. NPI Number 1033115704 has the healthcare provider type.

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1053520957 NPI number is provided on an as is basis without warranty of any kind. 1053520957 is maintained by the National Plan & Provider Enumeration System. The contents of Nerissa D. Pascual, Dds Pa are for informational purposes only.