Organization
SMILE CENTRAL DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GRUNSTEIN DMD (OWNER)
(973) 742-4200
Entity
Organization
Contact information
Practice address
140 MARKET STREET, 3RD FLOOR, PATERSON, NJ 07505
(973) 742-4200
(973) 742-4997
Mailing address
140 MARKET STREET, 3RD FLOOR, PATERSON, NJ 07505
(973) 742-4200
(973) 742-4997
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI21533
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083518
—
NJ
Enumeration date
08/11/2006
Last updated
03/10/2016
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