Organization
SMILE BY DESIGN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY H STAHL DMD (OWNER)
(201) 343-4483
Entity
Organization
Contact information
Practice address
120 STATE ST, 2ND FLOOR SUITE 3, HACKENSACK, NJ 07601-8910
(201) 343-4483
Mailing address
120 STATE ST STE 2, HACKENSACK, NJ 07601-8911
(201) 343-4483
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
14077
NJ
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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