Organization
DENTISMILES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISMARI ENEDINA LABRADA D.D.S (SOLE MEMBER)
(201) 863-0426
Entity
Organization
Contact information
Practice address
2200 NEW YORK AVE, UNION CITY, NJ 07087-4502
(201) 863-0426
(201) 758-5566
Mailing address
2200 NEW YORK AVE, UNION CITY, NJ 07087-4502
(201) 863-0426
(201) 758-5566
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02261701
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066443
—
NJ
Enumeration date
10/01/2010
Last updated
02/27/2015
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