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Organization
THE SMILIST DENTAL VA PLLC
Active
Organization
THE SMILIST DENTAL VA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE ALVAREZ (VP REV MGMT)
(562) 965-3304
Entity
Organization
Contact information
Practice address
40 CUTTERMILL RD STE 500, GREAT NECK, NY 11021-3213
(562) 965-3304
Mailing address
40 CUTTERMILL RD STE 500, GREAT NECK, NY 11021-3213
(562) 965-3304
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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