# VIRTUOSO DENTAL CARE LLC

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

## Provider details

- **NPI number:** 1285035618
- **Authorized official:** NEETHA RAVINDRA DDS (GENERAL DENTIST)
- **Authorized official phone:** (973) 472-1010

## Contact information

- **Practice address:** 183 JEFFERSON ST, PASSAIC, NJ 07055-5106
- **Practice address phone:** (973) 472-1010
- **Practice address fax:** (973) 473-6232
- **Mailing address:** 183 JEFFERSON ST, PASSAIC, NJ 07055-5106
- **Mailing address phone:** (973) 472-1010
- **Mailing address fax:** (973) 473-6232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DI1995600 | NJ | Yes |

## Other

- **Enumeration date:** 09/04/2014
- **Last updated:** 09/04/2014