# SANTILLANA FAMILY DENTISTRY L.L.C.

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

## Provider details

- **NPI number:** 1225361496
- **Authorized official:** MS. MONICA ROLLINS (OFFICE MANAGER)
- **Authorized official phone:** (973) 859-0501

## Contact information

- **Practice address:** 120 LEXINGTON AVE, PASSAIC, NJ 07055-5260
- **Practice address phone:** (973) 859-0501
- **Practice address fax:** (973) 859-0503
- **Mailing address:** 120 LEXINGTON AVE, PASSAIC, NJ 07055-5260
- **Mailing address phone:** (973) 859-0501
- **Mailing address fax:** (973) 859-0503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI02388500 | NJ | Yes |

## Other

- **Enumeration date:** 09/04/2009
- **Last updated:** 04/30/2010