# SMILE CENTRAL PASSAIC P.C.

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

## Provider details

- **NPI number:** 1972737583
- **Authorized official:** DR. ROBERT GRUNSTEIN DMD (OWNER)
- **Authorized official phone:** (201) 658-8839

## Contact information

- **Practice address:** 625 MAIN AVE, 3RD FLOOR, PASSAIC, NJ 07055-4952
- **Practice address phone:** (973) 574-1000
- **Practice address fax:** (973) 574-1001
- **Mailing address:** 625 MAIN AVE, 3RD FLOOR, PASSAIC, NJ 07055-4952
- **Mailing address phone:** (973) 574-1000
- **Mailing address fax:** (973) 574-1001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI02153300 | NJ | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | 22DI02283000 | NJ | — |

## Other

- **Enumeration date:** 05/11/2009
- **Last updated:** 05/11/2009