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Organization
THE SMILIST DENTAL OF NEW JERSEY II, LLC
Active
Organization
THE SMILIST DENTAL OF NEW JERSEY II, LLC
Active
Other names
The Smilist
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER D HOSP (CHIEF FINANCIAL OFFICER)
(516) 441-2173
Entity
Organization
Contact information
Practice address
470 CLIFTON AVE, CLIFTON, NJ 07011-3262
(862) 304-4009
Mailing address
40 CUTTERMILL RD STE 500, GREAT NECK, NY 11021-3213
(516) 441-2173
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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