Organization
THE SMILE SPA OF NORTH JERSEY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA ROSENBLATT DDS (OWNER)
(201) 445-2797
Entity
Organization
Contact information
Practice address
759 LAFAYETTE AVE, HAWTHORNE, NJ 07506-2855
(973) 427-1443
Mailing address
759 LAFAYETTE AVE, HAWTHORNE, NJ 07506-2855
(973) 427-1443
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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