# LIFETIME SMILES LLC

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

## Provider details

- **NPI number:** 1912531534
- **Authorized official:** YAMIZEL MELGAREJO-ROSALES (OFFICE MANAGER)
- **Authorized official phone:** (908) 245-1745

## Contact information

- **Practice address:** 205 W WESTFIELD AVE, ROSELLE PARK, NJ 07204-1818
- **Practice address phone:** (908) 245-1745
- **Mailing address:** 205 W WESTFIELD AVE, ROSELLE PARK, NJ 07204-1818
- **Mailing address phone:** (908) 245-1745

## Taxonomy

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

## Other

- **Enumeration date:** 02/24/2020
- **Last updated:** 02/24/2020