Organization
SMILECREATORS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVGENI GORIOUNOV D.D.S. (PRESIDENT)
(973) 471-8300
Entity
Organization
Contact information
Practice address
139 MAIN AVENUE, CLIFTON, NJ 07014
(973) 471-8300
(973) 471-6662
Mailing address
139 MAIN AVENUE, CLIFTON, NJ 07014-1707
(973) 471-8300
(973) 471-6662
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02094100
NJ
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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