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Organization

FORT LEE SMILES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SIMON GEDEON D.M.D. (OWNER)
(201) 944-4040
Entity
Organization

Contact information

Practice address
1530 PALISADE AVE STE 101, FORT LEE, NJ 07024-5470
(201) 941-4040
(201) 944-4041
Mailing address
1530 PALISADE AVE STE 101, FORT LEE, NJ 07024-5470
(201) 941-4040
(201) 944-4041

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
05/27/2016
Last updated
05/27/2016
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