# SMILECREATORS, P.A.

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

## Provider details

- **NPI number:** 1144435694
- **Authorized official:** DR. EVGENI GORIOUNOV D.D.S. (PRESIDENT)
- **Authorized official phone:** (973) 471-8300

## Contact information

- **Practice address:** 139 MAIN AVENUE, CLIFTON, NJ 07014
- **Practice address phone:** (973) 471-8300
- **Practice address fax:** (973) 471-6662
- **Mailing address:** 139 MAIN AVENUE, CLIFTON, NJ 07014-1707
- **Mailing address phone:** (973) 471-8300
- **Mailing address fax:** (973) 471-6662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI02094100 | NJ | Yes |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 08/22/2020
