Organization
LON ROSEN
Active
Other names
A Smile Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LON J ROSEN DDS (OWNER)
(201) 797-8100
Entity
Organization
Contact information
Practice address
15-01 BROADWAY STE 18, FAIR LAWN, NJ 07410-6018
(201) 797-8100
Mailing address
15-01 BROADWAY STE 18, FAIR LAWN, NJ 07410-6018
(201) 797-8100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01439000
NJ
Other
Enumeration date
04/05/2007
Last updated
08/22/2020
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