Organization
THE SMILIST DENTAL OF NEW JERSEY II, LLC
Active
Other names
The Smilist
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER D HOSP (CHIEF FINANCIAL OFFICER)
(516) 441-2173
Entity
Organization
Contact information
Practice address
470 CLIFTON AVE, CLIFTON, NJ 07011-3262
(862) 304-4009
Mailing address
40 CUTTERMILL RD STE 500, GREAT NECK, NY 11021-3213
(516) 441-2173
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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