# ISMILE DENTAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003219536
- **Authorized official:** SOO JIN CHANG (DDS)
- **Authorized official phone:** (201) 374-1558

## Contact information

- **Practice address:** 22 N WASHINGTON AVE., BERGENFIELD, NJ 07621
- **Practice address phone:** (201) 374-1558
- **Practice address fax:** (201) 374-1559
- **Mailing address:** 22 N WASHINGTON AVE., BERGENFIELD, NJ 07621
- **Mailing address phone:** (201) 374-1558
- **Mailing address fax:** (201) 374-1559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DI02584500 | NJ | Yes |

## Other

- **Enumeration date:** 09/29/2014
- **Last updated:** 09/29/2014