Organization
LAMA DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SVETLANA YARMOLINSKAYA D.D.S. (PRESIDENT)
(201) 791-2170
Entity
Organization
Contact information
Practice address
26-07 BROADWAY, SUITE 23, FAIR LAWN, NJ 07410-3832
(201) 791-2170
Mailing address
26-07 BROADWAY, SUITE 23, FAIR LAWN, NJ 07410-3832
(201) 791-2170
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI02015900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02072764
—
NY
Enumeration date
07/15/2007
Last updated
07/15/2007
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