Organization
GARDEN STATE HEALTHY SMILE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAMIK YUSUFOV (PROVIDER)
(732) 728-7075
Entity
Organization
Contact information
Practice address
170 MORRIS AVE STE A, LONG BRANCH, NJ 07740-6660
(732) 728-7075
(732) 728-0337
Mailing address
170 MORRIS AVE STE A, LONG BRANCH, NJ 07740-6660
(732) 728-7075
(732) 728-0337
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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