Organization
SPARTA SMILES DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI NOOR MALIK DMD (GENERAL DENTIST)
(845) 239-2045
Entity
Organization
Contact information
Practice address
16 LAFAYETTE RD, SPARTA, NJ 07871-3512
(845) 239-2045
Mailing address
16 LAFAYETTE RD, SPARTA, NJ 07871-3512
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174191472
NPI 1
—
Enumeration date
05/21/2025
Last updated
05/21/2025
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