Organization
GENUINE SMILES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINA ELFAR DMD (OWNER)
(201) 921-4667
Entity
Organization
Contact information
Practice address
2 W NORTHFIELD RD STE 302B, LIVINGSTON, NJ 07039-3758
(973) 758-8922
Mailing address
2 W NORTHFIELD RD STE 300, LIVINGSTON, NJ 07039-3758
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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