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Organization
SMILE FOR LIFE DENTAL, P.C.
Active
Organization
SMILE FOR LIFE DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TUVIA ZINMAN DDS (PRESIDENT/DENTIST)
(718) 417-6453
Entity
Organization
Contact information
Practice address
918 CYPRESS AVE, RIDGEWOOD, NY 11385-5339
(718) 417-6453
(718) 366-3300
Mailing address
918 CYPRESS AVE, RIDGEWOOD, NY 11385-5339
(718) 417-6453
(718) 366-3300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02829394
—
NY
Enumeration date
12/12/2011
Last updated
12/12/2011
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