# SAINT MARY DENTAL CLINIC LLC

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

## Provider details

- **NPI number:** 1649843798
- **Authorized official:** DR. MEIRREL HOSNY (OWNER)
- **Authorized official phone:** (646) 388-2791

## Contact information

- **Practice address:** 35 JOURNAL SQ STE 825, JERSEY CITY, NJ 07306-4007
- **Practice address phone:** (201) 239-6357
- **Mailing address:** 204 GREEN VALLEY RD, STATEN ISLAND, NY 10312-1825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/16/2021
- **Last updated:** 07/16/2021