Individual
KRISTEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
579 BERGEN BLVD, RIDGEFIELD, NJ 07657-2032
(201) 941-4777
Mailing address
579 BERGEN BLVD., RIDGEFIELD, NJ 07657-2032
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02630500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2015
Last updated
01/03/2024
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